Active NPI
Brent A Rudisel, D.O.
- Emergency Medicine Physician
- Plainfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02002497A
- Practice address
- 2412 E Main St
Plainfield, IN 46168-2706 - Phone
- (317) 204-6910
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02002497A | IN | Primary |
Addresses
Primary practice location
2412 E Main St
Plainfield, IN 46168-2706
Mailing address
11523 Wildlife CT
Zionsville, IN 46077-2205
Phone (317) 413-9112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002497A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Statera Health Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Lawrence County Memorial Hospital | Past | Accepting new patients | |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Medina County, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 8
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
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
- Emergency Medicine Physician
- Harrisburg, IL
- NPI 1043874449
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1548912553
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Lodi, OH
- NPI 1457390312
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1386744795
-
- Emergency Medicine Physician
- Barnesville, OH
- NPI 1043699200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1477652287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11523 WILDLIFE CT",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460772205",
"telephone_number": "317-413-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 E MAIN ST",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461682706",
"telephone_number": "317-204-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDISEL",
"first_name": "BRENT",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02002497A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.