Individual provider Active NPI

Madison Marlisa Rudnick, PA-C

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1093482259
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110-008016 Issued in VA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230204000208 DC Practitioner - Physician Assistant 3375915119 Reassigns benefits to 1 organization

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
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

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 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-008016VAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.