Active NPI
David Michael Rudd, MD
- Emergency Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 322837
- Practice address
- 2500 N State St
Jackson, MS 39216-4500 - Phone
- (601) 815-1292
- Fax
- (601) 984-5110
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 322837 | LA | Primary |
Addresses
Primary practice location
2500 N State St
Jackson, MS 39216-4500
Mailing address
5246 Brittany Dr
Baton Rouge, LA 70808-9136
Phone (225) 757-4142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone (337) 436-2511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.84 of 100
- Quality
- 82.42
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322837 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Medicine Management -- Lake Charles LLC | Emergency Medicine | Current | Accepting new patients |
| Vermilion Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
Interoperability endpoints
- drudd400804@direct.ochsner.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1215996467
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Emergency Medicine Physician
- Kaplan, LA
- NPI 1215161096
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Hospital
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Hospital
-
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1548796378
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1710191473
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1114458981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5246 BRITTANY DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708089136",
"telephone_number": "225-757-4142",
"fax_number": "225-757-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-815-1292",
"fax_number": "601-984-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "322837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.