TERESA DUDAREWICZ MD, INC.
NPI 1740795426
Family Medicine in San Diego, CA

Active since December 04, 2017
11440 W BERNARDO CT STE 300, SAN DIEGO, CA 92127(858) 442-0753 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 23, 2019, Dec 26, 2017, Dec 4, 2017 (3 updates tracked since 2017).

About Teresa Dudarewicz Md, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA DUDAREWICZ MD, INC. (NPI 1740795426) is a healthcare organization registered as a family medicine in San Diego, California and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Escondido and lists Teresa Dudarewicz, President, as its authorized official.

NPPES Registry Identity

NPI1740795426
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTERESA DUDAREWICZ MD, INC.
Location Address11440 W BERNARDO CT STE 300San Diego, CA 92127-1644
Mailing Address3937 Summer WayEscondido, CA 92025-7942 · (858) 442-0753
Organization SubpartNo
Authorized OfficialTeresa DudarewiczPresident · (858) 442-0753
Enumeration DateDecember 4, 2017
Last NPPES UpdateJuly 23, 20193 updates tracked since enumeration
✔ NPI 1740795426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A65431
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11440 W BERNARDO CT STE 300, San Diego, CA 92127

Other Names 1

Doing Business AsTeresa Dudarewicz Md, Inc.

Secondary Practice Location 1

Location 13937 Summer WayEscondido, CA 92025-7942 · Phone (858) 442-0753

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Dudarewicz Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Teresa Dudarewicz MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1679634406
7300 GIRARD AVE
La Jolla, CA 92037
(858) 729-0034
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Dudarewicz MD, Inc.'s NPI number?

The NPI number for Teresa Dudarewicz MD, Inc. is 1740795426. It was assigned to this organization in the NPPES registry on December 4, 2017.

Where is Teresa Dudarewicz MD, Inc. located?

Teresa Dudarewicz MD, Inc. is located at 11440 W Bernardo Ct Ste 300, San Diego, CA 92127. The listed phone number is (858) 442-0753.

What is Teresa Dudarewicz MD, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Teresa Dudarewicz MD, Inc. enrolled in Medicare?

Yes. Teresa Dudarewicz MD, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teresa Dudarewicz MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Teresa Dudarewicz MD, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Teresa Dudarewicz MD, Inc. was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.