NPIMap

Individual provider Active NPI

Emma Rudebusch, MD

  • Family Medicine Physician
  • Blackstone, VA
National Provider Identifier
1780144196
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
323237 Issued in NY
Practice address
213 N Main St
Blackstone, VA 23824-1425
Phone
(434) 292-7261
NPI assigned
Mar 21, 2019
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101282768 VA
Family Medicine Physician 207Q00000X 323237 NY Primary

Addresses

Primary practice location

213 N Main St
Blackstone, VA 23824-1425

Mailing address

213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821002898 VA Practitioner - Family Practice 0244567196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

13540 Hull St Rd
Midlothian, VA 23112-2107
Phone (804) 739-6142

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261

611 Watkins Centre Pkwy
Suite 250
Midlothian, VA 23114-4404
Phone (804) 423-8470

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Medical Center LLC Current Accepting new patients
Bon Secours St. Francis Medical Center LLC Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
Bon Secours St. Francis Medical Center LLC CurrentSince Aug 25, 2024 Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients

Locations

213 N Main St
Blackstone, VA 23824
Phone (434) 292-7261

13540 Hull Street Rd
Midlothian, VA 23112
Phone (804) 595-1400

611 Watkins Centre Pkwy
Ste 250
Midlothian, VA 23114
Phone (804) 423-8470

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Interoperability endpoints

  • Direct secure messaging: erudebusch2386902@direct.trinity-health.org
  • Direct secure messaging: erudebusch2667396@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1780144196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241425",
            "telephone_number": "434-292-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241425",
            "telephone_number": "434-292-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEBUSCH",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101282768",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "323237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackstone, VA

Sources for this page

Verify at the official NPI Registry.