Individual provider Active NPI

Kathryn Neuman Rudo

  • Dermatology Physician
  • Reisterstown, MD
National Provider Identifier
1700981701
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0028933 Issued in MD
Practice address
750 Main St
Suite 302
Reisterstown, MD 21136-2515
Phone
(410) 526-7800
Fax
(410) 526-3039
NPI assigned
Sep 14, 2006
Last updated
Mar 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0028933 MD Primary

Addresses

Primary practice location

750 Main St
Suite 302
Reisterstown, MD 21136-2515

Mailing address

515 Fairmount Ave
Towson, MD 21286-5466
Phone (410) 494-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100225000023 MD Practitioner - Dermatology 5193869493 Reassigns benefits to 1 organization
Practice locations: Westminster, MD

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westminster Dermatology LLCGroup PAC ID 8729203765, 6 clinicians

Practice addresses (Care Compare)

532 Baltimore Blvd
Suite 211
Westminster, MD 21157-6117
Phone (410) 751-3840

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as group
Quality
88.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions763
Removal or shaving of skin growth112
Skin biopsy49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0028933MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westminster Dermatology, LLC Dermatology CurrentSince Jan 2, 2018 Accepting new patients

Locations

532 Baltimore Blvd
Ste 211
Westminster, MD 21157
Phone (410) 751-3840

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1700981701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1324",
            "fax_number": "410-494-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 302",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-7800",
            "fax_number": "410-526-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDO",
        "first_name": "KATHRYN",
        "middle_name": "NEUMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0028933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.