Individual provider Active NPI

Rudy J Kink, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Memphis, TN
National Provider Identifier
1528089752
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
41151 Issued in TN
Practice address
50 N Dunlap St
Memphis, TN 38103-2800
Phone
(901) 405-1407
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 41151 TN Primary

Addresses

Primary practice location

50 N Dunlap St
Memphis, TN 38103-2800

Mailing address

376 Winding Wolf PL
Memphis, TN 38120-2907
Phone (901) 218-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060925000453 TN Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7719982750 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41151TNMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Sedation Specialists, PC Pediatric Emergency Medicine CurrentSince Oct 11, 2010 Accepting new patients
Pediatric Emergency Specialists, PC Pediatric Emergency Medicine CurrentSince Sep 26, 2010 Accepting new patients

Locations

5885 Airline Rd
Unit 992
Arlington, TN 38002

5885 Airline Rd
Unit 1011
Arlington, TN 38002

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437

50 N Dunlap St
Memphis, TN 38103
Phone (901) 522-3060

Interoperability endpoints

  • Direct secure messaging: rkink32256@mlh.direct-ci.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1528089752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 WINDING WOLF PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202907",
            "telephone_number": "901-218-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N DUNLAP ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032800",
            "telephone_number": "901-405-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINK",
        "first_name": "RUDY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "TN",
            "license": "41151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.