Individual provider Active NPI

Adam Rudd, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1598144644
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A149638 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A149638 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210308001492 IL Practitioner - Diagnostic Radiology 8628372778 Reassigns benefits to 5 organizations
I20221128000312 GA Practitioner - Diagnostic Radiology 8628372778 Reassigns benefits to 4 organizations
I20260406000349 WI Practitioner - Diagnostic Radiology 8628372778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Diagnostic Center IncGroup PAC ID 3375455884, 25 clinicians
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians
Synergy Radiology LLCGroup PAC ID 2668727744, 73 clinicians
Diaspora Radiology SCGroup PAC ID 0547501942, 6 clinicians
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians
Coastal Imaging Solutions LLCGroup PAC ID 0042464364, 22 clinicians
Loretto HospitalGroup PAC ID 5193725893, 38 clinicians

Practice addresses (Care Compare)

11121 9 Mile Rd
Modesto, IL 62667-7109
Phone (407) 738-4085

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

1402 N Lasalle Dr
Chicago, IL 60610-1304
Phone (773) 412-5421

1501 Milstead Rd NE
Suite 140
Conyers, GA 30012-3849
Phone (678) 374-7322

2602 Mulberry LN
Northbrook, IL 60062-5937
Phone (847) 878-9109

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

3004 Golf Rd
Suite 101a
Eau Claire, WI 54701-8794
Phone (855) 694-3300

326 W 64TH St
Chicago, IL 60621-3114
Phone (773) 962-3900

503 Eisenhower Dr
Savannah, GA 31406-2668
Phone (912) 355-6255

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 854-5567

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

  • St Bernard Hospital Hospital, Chicago, IL, CCN 140103
  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Loretto Hospital Hospital, Chicago, IL, CCN 140083
  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149638CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Radiology, LLC CurrentSince Jul 21, 2024 Accepting new patients
Mount Sinai Community Foundation CurrentSince Apr 1, 2021 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Synergy Radiology, LLC CurrentSince Dec 6, 2022 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Dec 6, 2022 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Aug 6, 2021 Accepting new patients
Coastal Imaging Solutions LLC CurrentSince Oct 1, 2022 Accepting new patients
St Bernard Hospital CurrentSince Aug 6, 2021 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Diaspora Radiology, SC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Sinai Community Foundation CurrentSince Apr 1, 2021 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Sep 6, 2025 Accepting new patients
Loretto Hospital CurrentSince Jul 1, 2022 Accepting new patients
Smart Scan Medical Imaging - Eau Claire, LLC PastSince Feb 17, 2026 Accepting new patients

Locations

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

9459 Highway 5
Ste R
Douglasville, GA 30135

6025 Professional Pkwy
Ste 104
Douglasville, GA 30134
Phone (770) 444-9981

105 Grand Central Blvd
Ste 106
Pooler, GA 31322
Phone (912) 355-6255

503 Eisenhower Dr
Savannah, GA 31406
Phone (912) 355-6255

3921 Johns Creek Ct
Ste B
Suwanee, GA 30024
Phone (770) 217-7414

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

718 Florsheim Dr
Libertyville, IL 60048
Phone (847) 362-4483

3004 Golf Rd
Ste 101A
Eau Claire, WI 54701
Phone (847) 878-9109

8307 Murphy Dr
Middleton, WI 53562
Phone (608) 690-7210

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1598144644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A149638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.