Individual provider Active NPI

Rudolph Valentino McComb, D.P.M

  • Foot Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1609095389
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SCOO2810L Issued in PA
Practice address
1933 E Dublin Granville Rd
Ste 216
Columbus, OH 43229-3508
Phone
(614) 339-4512
Fax
(614) 339-4512
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SCOO2810L PA Primary

Addresses

Primary practice location

1933 E Dublin Granville Rd
Ste 216
Columbus, OH 43229-3508

Mailing address

1933 E Dublin Granville Rd
Ste 216
Columbus, OH 43229-3508
Phone (412) 654-5464

Other practice location 1

508 Meeting St
West Columbia, SC 29169-7535
Phone (727) 796-6900

Other identifiers 1

IdentifierTypeStateIssuer
983906MedicaidPA

Other names 1

  • Dr. Rudolph Valentino McComb Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, SC, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090320000098 OH Practitioner - Podiatry 0941362339
I20090928000685 PA Practitioner - Podiatry 0941362339 Reassigns benefits to 4 organizations
I20110401000320 SC Practitioner - Podiatry 0941362339 Reassigns benefits to 1 organization
I20230620002876 TX Practitioner - Podiatry 0941362339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
590SCMDNeurology Physician
SCOO2810LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Liberty Family Health Care Center, Inc. CurrentSince Jun 24, 2024 Accepting new patients
KG Health Partners, Inc CurrentSince Jun 1, 2022 Accepting new patients
East Liberty Family Health Care Center, Inc. Current Accepting new patients
Pedirite Medical PA PLLC CurrentSince Nov 1, 2021 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. CurrentSince Jan 8, 2022 Accepting new patients
Cornerstone Care, Inc. Current Accepting new patients
Cornerstone Care, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sto-Rox Neighborhood Health Council, Inc. CurrentSince Jan 8, 2022 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Jun 24, 2024 Accepting new patients
Cornerstone Care Inc CurrentSince Aug 1, 2025 Accepting new patients
John Balko and Associates Inc Past Accepting new patients
Cornerstone Care Inc. Past Accepting new patients
Podiatry Associates PastSince Jun 10, 2010 Accepting new patients
Cornerstone Care Inc. Past Accepting new patients
Cornerstone Care Inc Past Accepting new patients

Locations

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

7 Glassworks Rd
Greensboro, PA 15338
Phone (724) 943-3308

313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005

710 Thompson Ave
Mc Kees Rocks, PA 15136
Phone (412) 771-6462

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

151 Ruth St
Pittsburgh, PA 15211
Phone (412) 341-3520

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

508 Meeting St
West Columbia, SC 29169
Phone (615) 748-0625

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rudolph.mccomb.p12@direct.cornerstonecare.nextgenshare.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1609095389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 E DUBLIN GRANVILLE RD",
            "address_2": "STE 216",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293508",
            "telephone_number": "412-654-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 E DUBLIN GRANVILLE RD",
            "address_2": "STE 216",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293508",
            "telephone_number": "614-339-4512",
            "fax_number": "614-339-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Meeting St",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291697535",
            "country_code": "US",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "RUDOLPH",
        "middle_name": "VALENTINO",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SCOO2810L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDOLPH",
            "last_name": "MCCOMB",
            "middle_name": "VALENTINO",
            "prefix": "DR.",
            "credential": "D.P.M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.