Individual provider Active NPI

Rachel Lynne Rudo, AU.D.

  • Audiologist
  • Washington, DC
National Provider Identifier
1356865588
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01471 Issued in MD
Practice address
2115 Wisconsin Ave NW Ste 202
Washington, DC 20007-2265
Phone
(202) 944-5300
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01471 MD Primary

Addresses

Primary practice location

2115 Wisconsin Ave NW Ste 202
Washington, DC 20007-2265

Mailing address

3602 Philips Dr
Pikesville, MD 21208-1719
Phone (443) 839-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113001796 MD Practitioner - Qualified Audiologist 7113291444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annapolis ENT Surgical Center LLC 41 clinicians

Practice addresses (Care Compare)

23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5490
Phone (410) 356-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01471MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis ENT Surgical Center LLC CurrentSince Nov 1, 2024 Accepting new patients
Annapolis ENT Surgical Center, LLC Past Accepting new patients

Locations

2002 Medical Pkwy
Ste 230
Annapolis, MD 21401
Phone (410) 226-3900

23 Crossroads Dr
Ste 400
Owings Mills, MD 21117
Phone (410) 356-2626

5233 King Ave
Ste 112
Rosedale, MD 21237
Phone (410) 238-0057

Organizations & group practices 2

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1356865588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 PHILIPS DR",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081719",
            "telephone_number": "443-839-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WISCONSIN AVE NW STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072265",
            "telephone_number": "202-944-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDO",
        "first_name": "RACHEL",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.