Malcolm J Rude, M. D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

K9893 Issued in TX

Practice address

2809 Earl Ruddery Fwy S
Ste 101
College Station, TX 77845-6080

Phone

(979) 776-8825

Fax

(979) 776-2655

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery

Education

Texas Tech University Health Science Center School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrude@directaddress.net

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.

• Malcolm Rude, M.D., P.a.

  • Plastic Surgery Physician
  • College Station, TX
  • NPI 1184806044
  Medicare reassignment NPD Authorized official

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

• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  dba CHI St. Joseph Health College Station Hospital

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1306841994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDERY FWY S",
            "address_2": "STE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456080",
            "telephone_number": "979-776-8825",
            "fax_number": "979-776-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDERY FWY S",
            "address_2": "STE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456080",
            "telephone_number": "979-776-8825",
            "fax_number": "979-776-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDE",
        "first_name": "MALCOLM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K9893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166208201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046LN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest Tucker Rowan, DC
• Gina Castelnovo Rowe, DNP, APRN, FNP-BC
• Alexandra Kate Rowlinson
• Moerani Roya, LPC
• Timothy John Ruddell, M.D.
• Ruhwell Medical
• Jessilynn Ella Ruiz
• Misty Ruppert, MD
• Arien Byron Russell
• Michael Russell, M.A., D.MIN.

• Plastic Surgery Physician in College Station, TX
• Providers in College Station, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.

Verify at the official NPI Registry.