Jonathan Brett Rudick, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D0053785 Issued in MD

Practice address

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770-3621

Phone

(301) 345-0605

Fax

(301) 345-0606

NPI assigned

Apr 18, 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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Nephrology

Education

Johns Hopkins University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Maryland Nephrology, LLCGroup PAC ID 1254304413, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Renal Care of Bowie Dialysis facility, Bowie, MD, CCN 212626
• DaVita Annapolis Dialysis Dialysis facility, Annapolis, MD, CCN 212682
• Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
• Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
• Rehabilitation Hospital of Bowie Inpatient rehabilitation facility, Bowie, MD, CCN 213030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.rudick@direct.davitaphysiciansolutions.com

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.

• Central Maryland Nephrology, LLC

  • Specialist
  • Greenbelt, MD
  • NPI 1679673701

  DC

  Medicare reassignment Care Compare group NPD
• Annapolis Infectious Disease Associates LLP

  • Infectious Disease Physician
  • Annapolis, MD
  • NPI 1427259654
  NPD (past)
• Centurion Vascular Care LLC

  • Vascular & Interventional Radiology Physician
  • Lanham, MD
  • NPI 1386200525
  NPD (past)
• Lanham Dialysis Access Center LLC

  • Specialist
  • Lanham, MD
  • NPI 1932352077
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Renal Treatment Centers - Mid-Atlantic, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bowie, MD
  • NPI 1194785907

  Dialysis facility

  Care Compare affiliation Name & address match
• Dimensions Health Corporation

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation
• Encompass Health Rehabilitation Hospital of Southern Maryland, LLC

  • Rehabilitation Hospital
  • Bowie, MD
  • NPI 1316651474

  Inpatient rehabilitation facility

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • Clinical Medical Laboratory
  • Annapolis, MD
  • NPI 1356885032

  Hospital

  Care Compare affiliation
• Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
  • NPI 1477517225
  Care Compare affiliation
• Luminis Health Doctors Community Medical Center, Inc.

  • General Acute Care Hospital
  • Lanham, MD
  • NPI 1730136532
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1124083704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 West St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214014284",
            "country_code": "US",
            "telephone_number": "301-345-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDICK",
        "first_name": "JONATHAN",
        "middle_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0053785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "61090905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "F4550002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "LX76CE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00A612C73",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970900200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elysia Ross, PHARM.D
• Sonia Ross
• Esther Rothman, MS, O.T.R./L, CHT
• Rhonda D Rowan
• Royaltouch Integrated Healthcare Services
• Nichole E J Ruffin, LMT
• Theresa Lynn Ryan, P.T.
• Aaliyah Cymone Saafir
• Bolanle Saba, APRN FNP-C
• Allison Sabatino, RD

• Nephrology Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.