AMAL K DUDAR (PA-C) – Physician Assistant, NPI 1013206747
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for AMAL K DUDAR (PA-C)
1000 Regency Ct
Toledo, OH 436233091
Phone: (419) 383-5000
Fax: (419) 383-7417
Type: Location
315 E Broadway
4th floor
Louisville, KY 402023700
Phone: (502) 629-2500
Fax: (502) 629-2055
Type: Location
1200 S York St Ste 2000
Elmhurst, IL 601265634
Phone: (331) 221-9004
Type: Location
315 E BROADWAY
4TH FLOOR
LOUISVILLE, KY 402023700
Phone: (502) 629-2500
Fax: (502) 629-2055
Type: Location
PO BOX 776347
CHICAGO, IL 606776347
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
PO BOX 775641
CHICAGO, IL 606775641
Phone: (314) 543-6979
Fax: (314) 364-6321
Type: Mailing
3101 SE 14TH ST
BENTONVILLE, AR 727124900
Phone: (479) 250-1053
Fax: (479) 250-0923
Type: Location
1000 REGENCY CT
TOLEDO, OH 436233091
Phone: (419) 383-5000
Fax: (419) 383-7417
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Teleflex LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110613000012 | I | Physician Assistant | OH | TBD |
| I20161215002095 | I | Physician Assistant | KY | TBD |
| I20180209001717 | I | Physician Assistant | IL | TBD |
| I20241223001370 | I | Physician Assistant | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 38 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 15 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 43623)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | AR | |
| Physician Assistant | NY | |
| Nurse Practitioner | GA | |
| Family Practice, Emergency Medicine, General Practice | MN | |
| Nurse Practitioner | AR |
Reviews
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