Individual provider Active NPI

Howard Jay Rudnick, M.D.

  • Orthopaedic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1093716011
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME38790 Issued in FL
Practice address
4600 Linton Blvd.
Suite 250
Delray Beach, FL 33445
Phone
(844) 744-4900
Fax
(561) 293-8318
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0038790 FL
Orthopaedic Surgery Physician 207X00000X ME38790 FL Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X ME38790 FL
Orthopaedic Hand Surgery Physician 207XS0106X ME38790 FL
Independent Medical Examiner Physician 202C00000X ME38790 FL

Addresses

Primary practice location

4600 Linton Blvd.
Suite 250
Delray Beach, FL 33445

Mailing address

5030 Champion Blvd.
Suite G11-166
Boca Raton, FL 33496
Phone (561) 716-8315

Other identifiers 1

IdentifierTypeStateIssuer
044069800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120111000320 FL Practitioner - Orthopedic SurgeryPractitioner - Osteopathic Manipulative MedicinePractitioner - Sports MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Hand Surgery 0941322929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Osteopathic Manipulative Medicine
Education
University of Miami, LM Miller School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10075 S Jog Rd
Suite 311
Boynton Beach, FL 33437-3537
Phone (844) 744-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0038790FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard J Rudnick MD PLLC CurrentSince Jul 24, 2016 Accepting new patients

Locations

5030 Champion Blvd
Ste G11166
Boca Raton, FL 33496

5030 Champion Blvd
#G11166
Boca Raton, FL 33496

10075 S Jog Rd
Ste 311
Boynton Beach, FL 33437
Phone (561) 509-6888

4600 Linton Blvd
Ste 250
Delray Beach, FL 33445
Phone (561) 277-2369

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1093716011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CHAMPION BLVD.",
            "address_2": "SUITE G11-166",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33496",
            "telephone_number": "561-716-8315",
            "fax_number": "561-293-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LINTON BLVD.",
            "address_2": "SUITE 250",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "844-744-4900",
            "fax_number": "561-293-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "HOWARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0038790",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME38790",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME38790",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME38790",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "FL",
            "license": "ME38790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044069800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.