Carl Thomas Rudebusch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101272980 Issued in VA

Practice address

1712 E Broad St
Richmond, VA 23223-6930

Phone

(804) 344-9848

Fax

(804) 554-5395

NPI assigned

Apr 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Family Practice

Education

Virginia Commonwealth University, School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PMR Virginia Holding LLCGroup PAC ID 9537576608, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• PMR Virginia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001

  VA

  Medicare reassignment Care Compare group NPD
• Front Royal Family Practice, P.C.

  • Family Medicine Physician
  • Front Royal, VA
  • NPI 1750434072
  NPD (past)
• Jencare Neighborhood Medical East Richmond, LLC

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1891089454
  NPD (past)
• Sentara RMH Medical Center

  • General Practice Physician
  • Harrisonburg, VA
  • NPI 1417027608
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1568969236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-344-9848",
            "fax_number": "804-554-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-344-9848",
            "fax_number": "804-554-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEBUSCH",
        "first_name": "CARL",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101272980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Heidi Rubin, PHARM.D.
• Beth Rubinstein, MD
• Paul J Rubis, MD
• Rubye Washington Moore and Associates
• Amanda Ilyse Rudderman, LCSW
• Kari Rudinsky, MD
• Kristyn C Rudisill, PA
• Craig Rudlin, M.D.
• Jessica Rudloff, REGISTERED DIETITIAN
• Camille Rudney, LCSW

• Family Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.