Rudy Martin Tedja, DO

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

DO2441 Issued in NV

Practice address

1155 Mill St
Reno, NV 89502

Phone

(775) 982-7878

Fax

(775) 982-4196

NPI assigned

Apr 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV, NM, AZ, MT, ID6 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 6

Specialty

Internal Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
• Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
• Modoc Medical Center Hospital, Alturas, CA, CCN 051330
• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rtedja574368@ahs.direct-ci.com
• Direct secure messaging: rtedja303059@hisp.ehr.sutterhealth.org
• Direct secure messaging: rtedja144186@direct.renown.org
• Direct secure messaging: rtedja237176@cityofhope.direct-ci.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.

• Community Care Services LLC

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AZ, Family Medicine, ID, MT, NM

  Medicare reassignment Care Compare group NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Community Care Services LLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Fairfield, CA
  • NPI 1184859894

  Family Medicine

  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD
• Community Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Reno, NV
  • NPI 1083178065
  NPD (past)
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  NPD (past)

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

• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Renown South Meadows Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1720058027
  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1346934569

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1366232993

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  Care Compare affiliation
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1609451327
  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1689229353

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Sparks, NV
  • NPI 1952049132

  Hospital

  Care Compare affiliation
• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Care Compare affiliation
• Last Frontier Healthcare District

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare affiliation

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1639344963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARVARD WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022055",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Coffee Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554201",
            "country_code": "US",
            "telephone_number": "209-521-6097 x5289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213149",
            "country_code": "US",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDJA",
        "first_name": "RUDY",
        "middle_name": "MARTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "57113",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A13497",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "34.009823",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NV",
            "license": "DO2441",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "DO2441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14271792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Fieven Tedros
• Michelle Tedrow
• Teeann Teel
• Teemed Corp
• Chloe Teese

• Critical Care Medicine (Internal Medicine) Physician in Reno, NV
• Providers in Reno, NV by specialty
• Critical Care Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.