Active NPI
Larri Rudman, M.D.
- Hospitalist Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036174437
- Practice address
- 2650 Ridge Ave
Evanston, IL 60201-1700 - Phone
- (847) 570-2023
- Fax
- (847) 657-5732
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD85502 | SC | |
| Internal Medicine Physician | 207R00000X | 036174437 | IL | |
| Hospitalist Physician | 208M00000X | 036174437 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other practice location 1
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5200
Other practice location 2
5145 N California Ave
Chicago, IL 60625-3661
Phone (847) 570-1027
Other practice location 3
7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7500
Other practice location 4
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000
Other practice location 5
1806 W Lincoln Ave
Yakima, WA 98902-2473
Phone (509) 452-4520
Other practice location 6
615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
777 Park Ave W
Highland Park, IL 60035-2433
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5775
Hospital & facility affiliations
- Beaufort County Memorial Hospital
- Franciscan Health Olympia & Chicago Heights
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125084735 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
| 125.084735 | IL | MD | Hospitalist Physician |
| MD85502 | SC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Hni Hospital Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Family Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
9532 Eagle Way
Chicago, IL 60678
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Family Medicine
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Critical Care Medicine (Internal Medicine) Physician
- Panama City, FL
- NPI 1144851411
Family Medicine
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
SC
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- General Practice Physician
- Beaufort, SC
- NPI 1336180165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1447631015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2023",
"fax_number": "847-657-5732"
}
],
"practiceLocations": [
{
"address_1": "955 Ribaut Rd",
"address_purpose": "LOCATION",
"city": "Beaufort",
"state": "SC",
"postal_code": "299025441",
"country_code": "US",
"telephone_number": "843-522-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5145 N California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "847-570-1027",
"fax_number": "773-989-1734",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7031 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434701",
"country_code": "US",
"telephone_number": "305-284-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "708-747-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1806 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989022473",
"country_code": "US",
"telephone_number": "509-452-4520",
"fax_number": "509-452-5224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 N Bonita Ave",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324013623",
"country_code": "US",
"telephone_number": "850-769-1511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDMAN",
"first_name": "LARRI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-09",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "MD85502",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036174437",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036174437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.
- 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.