Individual provider Active NPI

Rebecca A Rudd, M.D.

  • Family Medicine Physician
  • Aliquippa, PA
National Provider Identifier
1740253962
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD461633 Issued in PA
Practice address
99 Autumn St
Aliquippa, PA 15001-1301
Phone
(724) 375-8147
Fax
(724) 375-2435
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD461633 PA Primary

Addresses

Primary practice location

99 Autumn St
Aliquippa, PA 15001-1301

Mailing address

603 Stanwix St
Suite 500 Gateway Center
Pittsburgh, PA 15222-1451
Phone (412) 288-2130

Other identifiers 5

IdentifierTypeStateIssuer
P514395OtherNJOXFORD
080172910OtherNJRAILROAD MEDICARE
223360408-053OtherNJQUALCARE
2316901MedicaidNJ
1K8539OtherNJHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190225002091 PA Practitioner - Family Practice 5991894636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adagio Health Inc. CurrentSince Jan 6, 2019 Accepting new patients
Adagio Health Inc. CurrentSince Jan 6, 2019 Accepting new patients
Adagio Health Inc. Current Accepting new patients
Adagio Health Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

99 Autumn St
Aliquippa, PA 15001
Phone (724) 375-5754

323 Sunset Dr
Ste 2
Butler, PA 16001
Phone (724) 282-2730

118 E Plum St
Edinboro, PA 16412
Phone (814) 734-7600

1097 Oak St
Indiana, PA 15701
Phone (724) 349-2022

603 Stanwix St
Ste 500
Pittsburgh, PA 15222
Phone (412) 288-2130

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1740253962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 STANWIX ST",
            "address_2": "SUITE 500 GATEWAY CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221451",
            "telephone_number": "412-288-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 AUTUMN ST",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011301",
            "telephone_number": "724-375-8147",
            "fax_number": "724-375-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD461633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P514395",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080172910",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "223360408-053",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1K8539",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.