Individual provider Active NPI

Anthony Clark Rudine, M.D., M.B.A.

  • Neonatal-Perinatal Medicine Physician
  • Austin, TX
National Provider Identifier
1295908176
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
R1285 Issued in TX
Practice address
3000 N Ih 35
Pediatric Neonatology
Austin, TX 78739
Phone
(512) 844-5174
Fax
(412) 232-8579
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD445245 PA
Neurocritical Care Physician 2084A2900X R1285 TX
Neonatal-Perinatal Medicine Physician 2080N0001X R1285 TX Primary

Addresses

Primary practice location

3000 N Ih 35
Pediatric Neonatology
Austin, TX 78739

Mailing address

200 Lothrop St
Forbes Tower Suite 9055
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170406001784 TX Practitioner - Pediatric MedicinePractitioner - Other (Physician) 5890006530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD445245PAMDPediatrics Physician
R1285TXMDNeurocritical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Feb 22, 2017 Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
St. David'S Healthcare Partnership, L.P., LLP Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 3

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1295908176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "FORBES TOWER SUITE 9055",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087",
            "fax_number": "412-647-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N IH 35",
            "address_2": "PEDIATRIC NEONATOLOGY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78739",
            "telephone_number": "512-844-5174",
            "fax_number": "412-232-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDINE",
        "first_name": "ANTHONY",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD445245",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "R1285",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "R1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.