Active NPI
Kathryn M Rudman, MD
- Pediatrics Physician
- Sandwich, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 158388
- Practice address
- 68B Route 6a
Sandwich, MA 02563-1864 - Phone
- (508) 833-0269
- Fax
- (508) 833-1467
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 158388 | MA | Primary |
Addresses
Primary practice location
68B Route 6a
Sandwich, MA 02563-1864
Mailing address
68B Route 6a
Sandwich, MA 02563-1864
Phone (508) 362-5727
Other practice location 1
179 Route 6A
Yarmouth Port, MA 02675-1714
Phone (508) 362-5727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J21057 | Other | MA | BCBS |
| 3196631 | Medicaid | MA | |
| 202098 | Other | MA | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158388 | MA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Affiliates of Cape Cod, Inc. | Current | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Pediatrics | Current | Accepting new patients |
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| Briarpatch Pediatrics | Pediatrics | Past | Accepting new patients |
Locations
27 Park St
#2
Hyannis, MA 02601
Phone (508) 862-5891
140 Yarmouth Rd
Hyannis, MA 02601
Phone (508) 775-6131
25 Communication Way
Hyannis, MA 02601
Phone (508) 957-8669
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
150 Ansel Hallet Rd
West Yarmouth, MA 02673
Phone (508) 771-8350
Interoperability endpoints
- krudman34007@direct.chppoc.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
Pediatrics
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Ambulatory Surgical Clinic/Center
- Mashpee, MA
- NPI 1306391206
-
- Pediatrics Physician
- Sandwich, MA
- NPI 1073678157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1497718035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68B ROUTE 6A",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025631864",
"telephone_number": "508-362-5727",
"fax_number": "508-362-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68B ROUTE 6A",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025631864",
"telephone_number": "508-833-0269",
"fax_number": "508-833-1467"
}
],
"practiceLocations": [
{
"address_1": "179 Route 6A",
"address_purpose": "LOCATION",
"city": "Yarmouth Port",
"state": "MA",
"postal_code": "026751714",
"country_code": "US",
"telephone_number": "508-362-5727",
"fax_number": "508-362-5722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDMAN",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "158388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J21057",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3196631",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "202098",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.