Susan Evelyn Rudolph, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

49077 Issued in MN

Practice address

1217 8TH St N
New Ulm, MN 56073

Phone

(507) 217-5000

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Minnesota Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• New Ulm Medical Center Hospital, New Ulm, MN, CCN 241378
• Mayo Clinic Health System - Mankato Hospital, Mankato, MN, CCN 240093

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

72.5

Promoting interoperability

100

Improvement activities

40

Cost

77.07

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srudolph192985@excellian.direct.allina.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment Care Compare group NPD
• Allina Health System

  dba Phillips Eye Institute Professional Services

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1174567184
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Allina Health System

  dba Allina Health Nicollet Mall Clinic

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1467758813
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allina Health System

  dba New Ulm Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • New Ulm, MN
  • NPI 1346437720
  Care Compare affiliation
• Allina Health System

  dba Winthrop Area Clinic - New Ulm Medical Center

  • Clinic/Center
  • Winthrop, MN
  • NPI 1437344165

  Hospital

  Care Compare affiliation
• Allina Health System

  dba New Ulm Medical Center

  • Critical Access Hospital
  • New Ulm, MN
  • NPI 1558328435
  Care Compare affiliation
• Allina Health System

  dba New Ulm Medical Center

  • Family Medicine Physician
  • New Ulm, MN
  • NPI 1619911658

  Hospital

  Care Compare affiliation
• Mayo Clinic Health System-Southwest Minnesota Region

  dba Mayo Clinic Health System - Mankato

  • General Acute Care Hospital
  • Mankato, MN
  • NPI 1154302487
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1043244213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 8TH ST N",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "56073",
            "telephone_number": "507-217-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3916 W 50th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554241202",
            "country_code": "US",
            "telephone_number": "612-920-7546",
            "fax_number": "612-920-7548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3916 W 50th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554241202",
            "country_code": "US",
            "telephone_number": "612-920-7546",
            "fax_number": "612-920-7548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "SUSAN",
        "middle_name": "EVELYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "49077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Bend Education District
• Riverbluff Health Care, Inc.
• Penelope G Rivers, MSW, LICSW
• Carl Adolph Rosendale, LICSW
• Alyssa Kristine Rubey, PHARMD
• Scott J Rysdahl, MD
• Sarah Sauter, PA
• Laura Marie Schaefer
• David J Schaetzke, MS, LP
• Amber Jo Schmit

• Dermatology Physician in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.