Benjamin Troy Rud, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

008696 Issued in AZ

Practice address

4175 S Alamo Ave
Tucson, AZ 85707

Phone

(937) 734-4141

NPI assigned

Apr 12, 2018

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Emergency Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America-Arizona LLPGroup PAC ID 2668903006, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• White Mountain Regional Medical Center Hospital, Springerville, AZ, CCN 031315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Cep America-Arizona LLP

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1841021581
  Medicare reassignment Care Compare group

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

• White Mountain Regional Medical Center

  • Critical Access Hospital
  • Springerville, AZ
  • NPI 1699766592
  Care Compare affiliation

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1407353659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "DAVIS MONTHAN AFB",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S ALAMO AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "937-734-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 S Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Springerville",
            "state": "AZ",
            "postal_code": "859385104",
            "country_code": "US",
            "telephone_number": "928-362-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUD",
        "first_name": "BENJAMIN",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "008696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rucker-Spann
• Caroline Ann Rucker, PT
• Creed Monroe Rucker, MD
• Ronchell Rucker, RN
• Rachel Ruckman, MD
• Kim Ruddick
• Kadly K Ruder, DNP, APRN, AGNP-C
• Shaun Steven Rudh, MSW, LCSW
• Robin Addell Rudic, LCSW
• Wayne L Rudnick, DC

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.