Individual provider Active NPI

Jennifer Nichole Rude, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1245650514
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S9215 Issued in TX
Practice address
818 Lexington Ave
San Antonio, TX 78212-4711
Phone
(210) 572-1211
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X S9215 TX Primary

Addresses

Primary practice location

818 Lexington Ave
San Antonio, TX 78212-4711

Mailing address

818 Lexington Ave
San Antonio, TX 78212-4711
Phone (210) 572-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20200609000174 CA Practitioner - Diagnostic Radiology 1153602396 Reassigns benefits to 3 organizations
I20210208000622 TX Practitioner - Diagnostic Radiology 1153602396 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Paul L Foster School of Medicine, Texas Tech Univ, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians

Practice addresses (Care Compare)

143 Katherine CT
San Antonio, TX 78209-6221
Phone (844) 866-2718

3310 Richmond Ave
Houston, TX 77098-3008
Phone (713) 589-5231

3900 Sherman Dr
Riverside, CA 92503-4006

801 S Main St
Suite 101
Corona, CA 92882-3410
Phone (951) 682-1099

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S9215TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Imaging Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jun 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 15, 2024 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

8283 Grove Ave
Ste 101
Rch Cucamonga, CA 91730
Phone (909) 982-8638

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2502 W Trenton Rd
Edinburg, TX 78539
Phone (956) 630-2119

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

3310 Richmond Ave
Houston, TX 77098
Phone (713) 400-3400

2130 W Holcombe Blvd
#B
Houston, TX 77030

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1245650514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 LEXINGTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124711",
            "telephone_number": "210-572-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 LEXINGTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124711",
            "telephone_number": "210-572-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDE",
        "first_name": "JENNIFER",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S9215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.