Individual provider Active NPI

Larri Rudman, M.D.

  • Hospitalist Physician
  • Evanston, IL
National Provider Identifier
1447631015
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036174437 Issued in IL
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

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181101001359 FL Practitioner - Emergency Medicine 7416266267 Reassigns benefits to 1 organization
I20210327000169 SC Practitioner - HospitalistPractitioner - Family Practice 7416266267 Reassigns benefits to 2 organizations
I20251009000425 IL Practitioner - HospitalistPractitioner - Internal Medicine 7416266267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

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 Hospital, Beaufort, SC, CCN 420067
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125084735ILMDCritical Care Medicine (Internal Medicine) Physician
125.084735ILMDHospitalist Physician
MD85502SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Apr 21, 2025 Accepting new patients
Hni Hospital Services of Florida, LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Apr 21, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 1, 2025 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.