Individual provider Active NPI

Richard Rudloff, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Danville, PA
National Provider Identifier
1700831302
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
OS007921L Issued in PA
Practice address
5 Fairview Dr
Danville, PA 17821-8464
Phone
(570) 441-1064
NPI assigned
May 23, 2006
Last updated
Jan 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OS007921L PA Primary

Addresses

Primary practice location

5 Fairview Dr
Danville, PA 17821-8464

Mailing address

5 Fairview Dr
Danville, PA 17821-8464

Other identifiers 1

IdentifierTypeStateIssuer
001295251MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, SC, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20041102000968 PA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 7618939562 Reassigns benefits to 1 organization
I20080812000706 NC Practitioner - Emergency MedicinePractitioner - Family Practice 7618939562 Reassigns benefits to 3 organizations
I20150702000804 SC Practitioner - Emergency Medicine 7618939562 Reassigns benefits to 1 organization
I20170815002422 GA Practitioner - Emergency Medicine 7618939562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
74.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007921LPAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC CurrentSince Jun 26, 2018 Accepting new patients
Emergency Group of Columbus, LLC CurrentSince Jul 1, 2018 Accepting new patients
Yadkin Emergency Physicians, PLLC CurrentSince Aug 1, 2018 Accepting new patients
The Carolinas Emergency Group, PLLC CurrentSince Feb 15, 2016 Accepting new patients
Pennsylvania Physician Services, LLC Current Accepting new patients
Jefferson Emergency Services, PLLC CurrentSince May 3, 2017 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Dec 12, 2022 Accepting new patients
Union Urgent Care LLC Past Accepting new patients
New Jersey/Pennsylvania Em-1 Medical Services, P.C. Past Accepting new patients
Bloomsburg Physicians Services Past Accepting new patients
Shikellamy Emergency Physicians Past Accepting new patients
Union Urgent Care LLC Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Cabarrus Urgent Care Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1700831302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FAIRVIEW DR",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FAIRVIEW DR",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218464",
            "telephone_number": "570-441-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDLOFF",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "OS007921L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001295251",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.