Andrew Rudo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

919709 Issued in MD

Practice address

120 Sister Pierre Dr Ste 407
Towson, MD 21204-7536

Phone

(443) 279-2000

Fax

(443) 279-2004

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Psychiatry

Education

University of Maryland School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nurse Practitioner on Call, LLCGroup PAC ID 1951671106, 6 clinicians

Main Street Mobile Treatment Associates IncGroup PAC ID 7416911342, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Main Street Mobile Treatment Associates Inc

  • Psychologist
  • Reisterstown, MD
  • NPI 1134139637
  Medicare reassignment Care Compare group
• Nurse Practitioner on Call LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1992245559
  Medicare reassignment Care Compare group
• Psych Associates Care, LLC

  • Counseling Psychologist
  • Towson, MD
  • NPI 1003848490
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124047238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "443-279-2000",
            "fax_number": "443-279-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "443-279-2000",
            "fax_number": "443-279-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "919709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avigayil Rubanowitz
• Jonathan N. Rubenstein, M.D.
• Allan I Rubin, M.D.
• Lewis Rubinson, MD,PHD
• Jamie Rudden, LCPC, NCC
• Ralph Ruggiero
• Namita Ruhela, MD
• Jose Tadeo Ruiz, MD
• Virginia Tai Runko, PH.D.
• Shannon Russell

• Psychiatry Physician in Towson, MD
• Providers in Towson, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.