Individual provider Active NPI

Sergio Rudoi Jr., P.A.-C.

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1144228230
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050760 Issued in PA
Practice address
1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256
Phone
(610) 770-1606
Fax
(610) 740-0560
NPI assigned
Jul 12, 2005
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050760 PA Primary

Addresses

Primary practice location

1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256

Mailing address

1255 S Cedar Crest Blvd
Suite 3600
Allentown, PA 18103-6256
Phone (610) 770-1606

Other practice location 1

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8080

Other identifiers 6

IdentifierTypeStateIssuer
50047059OtherKEYSTONE HEALTH CENTRAL
970022168OtherMEDICARE RAILROAD
1958665OtherHIGHMARK BLUE SHIELD
50047059OtherCAPITAL BLUE CROSS
P3177389OtherOXFORD HEALTH PLANS
329247OtherHEALTHAMERICA/HEALTHASSUR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000705 PA Practitioner - Physician Assistant 8022026434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians

Practice addresses (Care Compare)

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606

1220 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 740-9500

1250 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-6224
Phone (610) 435-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.81 of 100Reported as group
Quality
75.84
Improvement activities
40
Cost
66.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050760PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group Physician Assistant Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Scranton Hospitalist Physician Services LLC PastSince May 7, 2025 Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients

Locations (25 of 37)

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

6649 Chrisphalt Dr
Bath, PA 18014
Phone (484) 287-1111

1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032

1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249

2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

2775 Schoenersville Rd
Bethlehem, PA 18017

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

400 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301

2401 Northampton St
Easton, PA 18045
Phone (484) 591-7555

3701 Corriere Rd
Easton, PA 18045
Phone (484) 591-7000

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

1431 Nursery St
Fogelsville, PA 18051
Phone (484) 273-4343

1109 Grosser Rd
Gilbertsville, PA 19525
Phone (484) 498-6060

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1144228230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 3600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-770-1606",
            "fax_number": "610-740-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 3600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-770-1606",
            "fax_number": "610-740-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOI",
        "first_name": "SERGIO",
        "name_suffix": "Jr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH CENTRAL",
            "identifier": "50047059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970022168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1958665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50047059",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3177389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA/HEALTHASSUR",
            "identifier": "329247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.