Active NPI
Michael Patrick Rudolph, DO
- Anesthesiology Physician
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35353
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5703 - Phone
- (715) 387-5511
- NPI assigned
- Jul 7, 2005
- Last updated
- Mar 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO0000001935 | TN | |
| Anesthesiology Physician | 207L00000X | 02003014A | IN | |
| Anesthesiology Physician | 207L00000X | 3564 | IA | |
| Anesthesiology Physician | 207L00000X | 35353 | WI | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 3564 | IA |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 1
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-2142
Other practice location 2
2727 Plaza Dr
Wausau, WI 54401-4192
Phone (715) 847-3166
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11507531 | Other | IN | CAQH NUMBER |
| 000000391600 | Other | IN | ANTHEM PROVIDER NUMBER |
| 0120733 | Medicaid | IA | |
| 0442343 | Medicaid | IA | |
| 9265107 | Other | IN | PHCS PID NUMBER |
| 4571 | Other | SD | MEDICAL LICENSE |
| 200802530 | Medicaid | IN | |
| 50171 | Other | IA | WELLMARK GROUP # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003014A | IN | MD | Anesthesiology Physician |
| DO0000001935 | TN | MD | Anesthesiology Physician |
| 3564 | IA | MD | Pain Medicine (Anesthesiology) Physician |
| TP095 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Kentucky, PLLC | Anesthesiology | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Anesthesia Care of Bloomington PC | Anesthesiology | Past | Accepting new patients |
| Monroe Physicians Group | Past | Accepting new patients | |
| Metro Anesthesia & Pain Mngmt LLP | Anesthesiology | Past | Accepting new patients |
| Northeast Indiana Anesthesiology, PC | Anesthesiology | Past | Accepting new patients |
Locations
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 17
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.
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Anesthesiology
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
-
dba Hillside Unit Pharmacy (DME)
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
dba LMC Inc of Rice Lake Freestanding Clinics
- Clinic/Center
- Chetek, WI
- NPI 1659008605
-
dba MCHS Freestanding Clinic Physician Group
- Internal Medicine Physician
- Wausau, WI
- NPI 1164159109
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1295732923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [
{
"address_1": "305 S State St",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "SD",
"postal_code": "574014527",
"country_code": "US",
"telephone_number": "605-622-2142",
"fax_number": "605-622-5127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2727 Plaza Dr",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544014192",
"country_code": "US",
"telephone_number": "715-847-3166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDOLPH",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "DO0000001935",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "02003014A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "3564",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "35353",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IA",
"license": "3564",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "11507531",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000391600",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120733",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0442343",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9265107",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4571",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200802530",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK GROUP #",
"identifier": "50171",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "2727 Plaza Dr",
"city": "Wausau",
"state": "WI",
"country_code": "US",
"postal_code": "544014192",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.