Andrew Blake Rudnick, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

57626 Issued in KY

Practice address

908 Wallace Ave Ste 103
Leitchfield, KY 42754-1479

Phone

(270) 259-9506

Fax

(270) 259-1646

NPI assigned

Mar 25, 2020

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Uk Healthcare

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1902214448
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1386271609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 WALLACE AVE STE 103",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541479",
            "telephone_number": "270-259-9506",
            "fax_number": "270-259-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 W Hebron Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Shepherdsville",
            "state": "KY",
            "postal_code": "401657467",
            "country_code": "US",
            "telephone_number": "502-633-3525",
            "fax_number": "502-633-8075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 S Limestone Ctw 304",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-323-9918",
            "fax_number": "859-323-1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "ANDREW",
        "middle_name": "BLAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "57626",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100754640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ted B Rogers, MD
• Rollins Bedford Corporation (Leitchfield Health Care Manor)
• Lacey Roof, M.ED.
• Judy Rosacker, LCSW
• Carl H Rosen, MD
• Stephanie M. Salings, APRN
• Thomas J Schory, MD
• Amy N Scott
• Aayushma Shah, MD
• Jonathan Shaw, PHARMD

• Pulmonary Disease Physician in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.