Individual provider Active NPI

Bart A Rudd, MSN-CRNA

  • Certified Registered Nurse Anesthetist
  • London, KY
National Provider Identifier
1730133497
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN1080380/ARNP3119A Issued in KY
Practice address
1001 Saint Joseph LN
Anesthesia Program
London, KY 40741-8345
Phone
(606) 330-6000
Fax
(606) 330-7825
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN1080380/ARNP3119A KY Primary
Certified Registered Nurse Anesthetist 367500000X 1080380 KY
Certified Registered Nurse Anesthetist 367500000X 3119A KY

Addresses

Primary practice location

1001 Saint Joseph LN
Anesthesia Program
London, KY 40741-8345

Mailing address

100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (606) 330-6000

Other identifiers 5

IdentifierTypeStateIssuer
74002726MedicaidKY
1223572OtherKYCHA HEALTH
000000375720OtherKYANTHEM BCBS KY
000000375720OtherKYBLUE CROSS/BLUE SHIELD
P00255461OtherKYRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050511000090 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759321581 Reassigns benefits to 8 organizations
I20230830003364 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759321581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Anesthesia Group PSCGroup PAC ID 4082527890, 38 clinicians

Practice addresses (Care Compare)

275 Hwy 770
Corbin, KY 40701-4732
Phone (606) 526-7874

9 Linville Rd
Paris, KY 40361-2129
Phone (859) 987-3600

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1080380KYMDCertified Registered Nurse Anesthetist
3119AKYMDCertified Registered Nurse Anesthetist
RN1080380/ARNP3119AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates, PSC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2017 Accepting new patients
Community Anesthesia of the Bluegrass, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2021 Accepting new patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2023 Accepting new patients
Riverside Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Capital Anesthesia Solutions of Kentucky LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Resource Anesthesia Cumberland Valley Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2012 Accepting new patients
River Cities Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2023 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Radiology Inc PastSince Aug 12, 2012 Accepting new patients
Cumberland Valley Surgical Center, LLC Past Accepting new patients
Definitive Medical Solutions, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

625 James Trimble Blvd
Paintsville, KY 41240

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

301 Langdon St
Somerset, KY 42503
Phone (606) 678-9688

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

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 and National Provider Directory roles.

View all 14

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1730133497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "606-330-6000",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAINT JOSEPH LN",
            "address_2": "ANESTHESIA PROGRAM",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418345",
            "telephone_number": "606-330-6000",
            "fax_number": "606-330-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "BART",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MSN-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "RN1080380/ARNP3119A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1080380",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3119A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74002726",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "1223572",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS KY",
            "identifier": "000000375720",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000375720",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00255461",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.