Individual provider Active NPI

Alan Rudick, D.O.

  • Pulmonary Disease Physician
  • Akron, OH
National Provider Identifier
1508866971
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
34.004756 Issued in OH
Practice address
224 W Exchange St Ste 380
Akron, OH 44302-1796
Phone
(330) 344-6676
Fax
(330) 434-3611
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 34.004756 OK
Sleep Medicine (Internal Medicine) Physician 207RS0012X 34.004756 OH
General Practice Physician 208D00000X 34-00-4756 OH
Pulmonary Disease Physician 207RP1001X 34.004756 OH Primary

Addresses

Primary practice location

224 W Exchange St Ste 380
Akron, OH 44302-1796

Mailing address

224 W Exchange St Ste 380
Akron, OH 44302-1796
Phone (330) 344-6676

Other practice location 1

1330 Mercy Dr NW
Ste 418
Canton, OH 44708-2626
Phone (330) 489-1454

Other identifiers 1

IdentifierTypeStateIssuer
0740916MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040518001237 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1658362892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1145

1946 Town Park Blvd
Uniontown, OH 44685-8372

224 W Exchange St
Suite 380
Akron, OH 44302-1796
Phone (330) 344-6676

4125 Medina Rd
Akron, OH 44333-2483
Phone (216) 636-5860

7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone (330) 830-6110

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4756OHMDClinical Psychologist
34.004756OKMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Apr 9, 2017 Accepting new patients
Montrose Sleep Center, LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

224 W Exchange St
Ste 380
Akron, OH 44302
Phone (330) 344-6686

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

1330 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

1946 Town Park Blvd
Ste 210
Green, OH 44685
Phone (330) 896-5010

7337 Caritas Cir NW
Massillon, OH 44646
Phone (330) 478-0001

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 2

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 3

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1508866971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 380",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021796",
            "telephone_number": "330-344-6676",
            "fax_number": "330-434-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 380",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021796",
            "telephone_number": "330-344-6676",
            "fax_number": "330-434-3611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Mercy Dr NW",
            "address_2": "Ste 418",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447082626",
            "country_code": "US",
            "telephone_number": "330-489-1454",
            "fax_number": "330-430-6913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDICK",
        "first_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "34.004756",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "34.004756",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "34-00-4756",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "34.004756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0740916",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.