David Todd Rudman, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

04-28631 Issued in KS

Practice address

4550 W 109TH St Ste 310
Overland Park, KS 66211-1309

Phone

(913) 721-3387

Fax

(816) 875-2597

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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 2

Specialty

Otolaryngology

Education

University of Missouri, Columbia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194
• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

72.61

Promoting interoperability

100

Improvement activities

30

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.rudman.1@12752.direct.athenahealth.com

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.

• Ascentist Physicians Group, LLC

  • Otolaryngology Physician
  • Lees Summit, MO
  • NPI 1649206319

  KS

  Medicare reassignment Care Compare group NPD
• Metropolitan Pulmonary and Sleep Medicine PC

  • Pulmonary Disease Physician
  • Lees Summit, MO
  • NPI 1952412231
  NPD (past)

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

• Doctors Hospital, LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  Care Compare affiliation
• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1558326199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 109TH ST STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111309",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2000157555",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-28631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205228307",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087399601",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.rudman.1@12752direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 W 109th St Ste 310",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Ruck, ARNP
• Andrea Ruckdeschel, RBT
• Heather Rucker, DPT
• Ryan W Rudder
• Lawrence L Ruder, MA CCCA
• Kathleen Ruel
• Laura Elizabeth Rues, N.D.
• Maren Lewis Ruf
• Deborah Ruggles, MD
• Vanessa Rugova

• Otolaryngology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Otolaryngology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.
• 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.

Verify at the official NPI Registry.