Active NPI
Madison Marlisa Rudnick, PA-C
- Medical Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110-008016
- Practice address
- 2120 L St NW Ste 700
Washington, DC 20037-1543 - Phone
- (202) 331-9293
- Fax
- (410) 584-1739
- NPI assigned
- Aug 25, 2021
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110-008016 | VA | Primary |
Addresses
Primary practice location
2120 L St NW Ste 700
Washington, DC 20037-1543
Mailing address
8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339
Other practice location 1
1860 Town Center Dr Ste 240
Reston, VA 20190-5899
Phone (703) 796-1986
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | madison.rudnick.p1@direct.cwcare.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
15225 Shady Grove Rd
Suite 306
Rockville, MD 20850-3275
Phone (301) 869-7644
2141 K St NW
Suite 808
Washington, DC 20037-1810
Phone (202) 331-9293
2301 Research Blvd
Suite 210
Rockville, MD 20850-3293
Phone (301) 569-6301
2301 Research Blvd
Suite 215
Rockville, MD 20850-3204
Phone (301) 424-3444
2440 M St NW
Suite 416
Washington, DC 20037-1449
Phone (202) 223-3006
9420 Key W Ave
Suite 415
Rockville, MD 20850-3334
Phone (301) 279-9400
9711 Medical Ctr Dr
Suite 109
Rockville, MD 20850-3381
Phone (301) 762-5501
9711 Medical Ctr Dr
Suite 320
Rockville, MD 20850-3386
Phone (301) 330-5401
9715 Medical Ctr Dr
Suite 415
Rockville, MD 20850-6312
Phone (301) 424-1696
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.1 of 100
- Quality
- 7.9
- Improvement activities
- 40
- Cost
- 79.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-008016 | VA | MD | Medical Physician Assistant |
Interoperability endpoints
- madison.rudnick.p1@direct.cwcare.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1093482259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 MAPLE LAWN BLVD STE 235",
"city": "FULTON",
"state": "MD",
"postal_code": "207592694",
"telephone_number": "301-340-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 L ST NW STE 700",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371543",
"telephone_number": "202-331-9293",
"fax_number": "410-584-1739"
}
],
"practiceLocations": [
{
"address_1": "1860 Town Center Dr Ste 240",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201905899",
"country_code": "US",
"telephone_number": "703-796-1986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDNICK",
"first_name": "MADISON",
"middle_name": "MARLISA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110-008016",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "madison.rudnick.p1@direct.cwcare.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2120 L St NW Ste 700",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200371543",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.