Individual provider Active NPI

Hannah Rose Rudek, PA-C

  • Physician Assistant
  • New Albany, OH
National Provider Identifier
1043974405
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007236RX Issued in OH
Practice address
5040 Forest Dr Ste 300
New Albany, OH 43054-8166
Phone
(614) 890-6555
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007236RX OH Primary

Addresses

Primary practice location

5040 Forest Dr Ste 300
New Albany, OH 43054-8166

Mailing address

5040 Forest Dr
New Albany, OH 43054-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220000992 OH Practitioner - Physician Assistant 1951792381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Arthritis Center, Inc.Group PAC ID 8628001880, 21 clinicians
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

170 Taylor Station Rd
Suite 300
Columbus, OH 43213-4491
Phone (614) 486-5200

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

6480 Harrison Ave
Suite 201
Cincinnati, OH 45247-7961

6785 Bobcat Way
Suite 300
Dublin, OH 43016-1443
Phone (614) 890-6555

Hospital & facility affiliations

  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2021 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD Physician Assistant CurrentSince Jun 19, 2023 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Jun 19, 2023 Accepting new patients

Locations

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

111 S Grant Ave
Ste 350
Columbus, OH 43215
Phone (614) 566-9160

6785 Bobcat Way
Ste 300
Dublin, OH 43016

1325 Stringtown Rd
Ste 280
Grove City, OH 43123

1325 Stringtown Rd
Grove City, OH 43123
Phone (614) 782-3668

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

5040 Forest Dr
New Albany, OH 43054
Phone (614) 546-4300

1030 Refugee Rd
Pickerington, OH 43147
Phone (614) 759-6626

1240 Hill Rd N
Pickerington, OH 43147
Phone (614) 839-2115

1030 Refugee Rd
Ste 180
Pickerington, OH 43147

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: hannah.shortridge.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1043974405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR STE 300",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548166",
            "telephone_number": "614-890-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEK",
        "first_name": "HANNAH",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007236RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.