Individual provider Active NPI

Guy J. Alexander Rudin, M.D.

  • Orthopaedic Surgery Physician
  • Yuba City, CA
National Provider Identifier
1629089941
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G65200 Issued in CA
Practice address
370 Del Norte Ave Ste 201
Yuba City, CA 95991
Phone
(530) 751-7201
Fax
(530) 751-2704
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 44255 MN
Orthopaedic Surgery Physician 207X00000X G65200 CA Primary

Addresses

Primary practice location

370 Del Norte Ave Ste 201
Yuba City, CA 95991

Mailing address

PO Box 3067
Yuba City, CA 95992-3067
Phone (530) 751-4784

Other practice location 1

260 Hospital Dr
Suite 107
Ukiah, CA 95482-4568
Phone (707) 467-5278

Other practice location 2

260 Hospital Dr
Suite 107
Ukiah, CA 95482-4568
Phone (707) 467-5278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20241219001338 WI Practitioner - Orthopedic Surgery 3375685985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tomah Memorial Hospital IncGroup PAC ID 6901897016, shared by 4 NPIs, 54 clinicians

Practice addresses (Care Compare)

501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181

Hospital & facility affiliations

  • Tomah Memorial Hospital Hospital, Tomah, WI, CCN 521320

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65200CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Jan 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 1, 2025 Accepting new patients
Black River Health Inc CurrentSince Jan 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients

Locations

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

501 Gopher Dr
#2
Tomah, WI 54660

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Interoperability endpoints

  • Direct secure messaging: grudin950054@direct.emplifyhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1629089941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959923067",
            "telephone_number": "530-751-4784",
            "fax_number": "530-751-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DEL NORTE AVE STE 201",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-751-7201",
            "fax_number": "530-751-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Hospital Dr",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824568",
            "country_code": "US",
            "telephone_number": "707-467-5278",
            "fax_number": "707-463-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824568",
            "country_code": "US",
            "telephone_number": "707-467-5278",
            "fax_number": "707-463-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDIN",
        "first_name": "GUY",
        "middle_name": "J. ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "44255",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G65200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.