Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Calvert Dudley Jr., MD, PHD

Individual provider Cardiovascular Disease Physician · NPI 1568575173

Dr. Samuel Calvert Dudley Jr., MD, PHD is a Cardiovascular Disease (Cardiology) in Minneapolis, Minnesota. Graduated from Virginia Commonwealth University, School of Medicine in 1989, 37 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Georgia, Illinois and Rhode Island.

Years since qualifying
37
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
GA, IL, RI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD14147 (RI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 336.080316 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 044910 (GA)

Record details

NPI number1568575173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESNovember 1, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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