Individual provider Active NPI

Andrew Rudin, DO

  • Emergency Medicine Physician
  • Naples, FL
National Provider Identifier
1265813497
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05372 Issued in KY
Practice address
8300 Collier Blvd
Naples, FL 34114-3549
Phone
(239) 354-6000
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 295191 NY
Emergency Medicine Physician 207P00000X OS15871 FL
Emergency Medicine Physician 207P00000X 05372 KY Primary

Addresses

Primary practice location

8300 Collier Blvd
Naples, FL 34114-3549

Mailing address

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6057

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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
I20190326000709 FL Practitioner - Emergency Medicine 4981944147 Reassigns benefits to 4 organizations
I20221026000681 KY Practitioner - Emergency Medicine 4981944147 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Emergency Medicine Specialists LLCGroup PAC ID 7517267628, 13 clinicians

Practice addresses (Care Compare)

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 354-6000

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15871FLMDEmergency Medicine Physician
295191NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Integrated Emergency Medicine Specialists LLC Emergency Medicine CurrentSince May 15, 2019 Accepting new patients
Urgent Care Services Southeast PSC CurrentSince Oct 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
T J Samson Community Hospital CurrentSince Nov 21, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 16, 2023 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

Interoperability endpoints

  • Direct secure messaging: mindfullivingsolutions.andrewrudin@160358.advancedmd-direct.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1265813497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143549",
            "telephone_number": "239-354-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143549",
            "telephone_number": "239-354-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDIN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "295191",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS15871",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "05372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.