Active NPI
Bennett L Rudorfer, MD
- Cardiovascular Disease Physician
- Winchester, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27496
- Practice address
- 183 Hospital Rd Ste a
Winchester, TN 37398-2471 - Phone
- (931) 967-1100
- Fax
- (931) 967-1125
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
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.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1174842181
Cardiovascular Disease, MS, TN
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1063140051
-
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1275375818
-
- Rural Health Clinic/Center
- Lynchburg, TN
- NPI 1477395192
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1619605607
-
- Rural Health Clinic/Center
- Sewanee, TN
- NPI 1770284119
-
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1801638549
-
- Rural Health Clinic/Center
- Monteagle, TN
- NPI 1922388297
-
- Specialist
- Germantown, TN
- NPI 1740391804
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1538276704
-
- Internal Medicine Physician
- Monteagle, TN
- NPI 1699792390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
Hospital
-
- General Acute Care Hospital
- Winchester, TN
- NPI 1467408781
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- New York University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amg-Southern Tennessee LLC
Practice addresses (Care Compare)
183 Hospital Rd
Suite a
Winchester, TN 37398-2471
Phone (931) 967-1100
Hospital & facility affiliations
- Southern Tennessee Regional Health System Winchest
- Saint Thomas Rutherford Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040123001001 | AR | Practitioner - Cardiovascular Disease (Cardiology) | 4789586223 | Reassigns benefits to 2 organizations |
| I20040805000060 | TN | Practitioner - Interventional Cardiology | 4789586223 | Reassigns benefits to 3 organizations |
| I20220223001097 | MS | Practitioner - Interventional Cardiology | 4789586223 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27496 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Health System Inc | Current | Accepting new patients | |
| Specialty Physician Group LLC | Cardiovascular Disease | Current | Accepting new patients |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| Sutherland Cardiology Clinic, P.C. | Current | Accepting new patients | |
| Amg -Southern Tennessee LLC | Past | Accepting new patients | |
| Adult and Adolescent Medicine Clinics PLLC | Past | Accepting new patients |
Locations
3443 Harrison St
Batesville, AR 72501
Phone (870) 698-1635
1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240
200 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-7777
310 W Tyler Ave
West Memphis, AR 72301
Phone (870) 732-2398
228 W Tyler Ave
Ste 308
West Memphis, AR 72301
Phone (870) 732-5803
1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599
4240 Bethel Rd
Ste 201
Olive Branch, MS 38654
4250 Bethel Rd
Fl 5
Olive Branch, MS 38654
Phone (662) 932-9544
7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792
1211 Union Ave
Ste 965
Memphis, TN 38104
Phone (901) 435-8550
6005 Park Ave
Ste 500B
Memphis, TN 38119
183 Hospital Rd
Ste A
Winchester, TN 37398
Phone (931) 962-1110
183 Hospital Rd
Winchester, TN 37398
Phone (631) 962-2272
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
Interoperability endpoints
- bennett.rudorfer.1@19363.direct.athenahealth.com
- bennettrudorfer@sccpc.allscriptsdirect.net
- brudorfer@yourcarecommunity.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 27496 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
183 Hospital Rd Ste a
Winchester, TN 37398-2471
Mailing address
183 Hospital Rd
Winchester, TN 37398-2470
Phone (931) 967-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2026.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1124122700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 HOSPITAL RD",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373982470",
"telephone_number": "931-967-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 HOSPITAL RD STE A",
"city": "WINCHESTER",
"state": "TN",
"postal_code": "373982471",
"telephone_number": "931-967-1100",
"fax_number": "931-967-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDORFER",
"first_name": "BENNETT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "27496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.