Active NPI
Rachel Lynne Rudo, AU.D.
- Audiologist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01471
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01471 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annapolis ENT Surgical Center LLC | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1629094917
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.