Eric Rudnick, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME139044 Issued in FL

Practice address

22029 State Road 7 Ste 1
Boca Raton, FL 33428-4200

Phone

(561) 923-0905

Fax

(561) 443-2823

NPI assigned

Apr 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Dermatology

Education

University of South Florida College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.45 of 100Reported as individual

Quality

98.9

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erud89@dazzlingdermatology.emadirect.md

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.

• Dazzling Dermatology, PLLC

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1336752120
  Medicare reassignment NPD Authorized official
• Mid-Florida Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Eustis, FL
  • NPI 1265798870
  Medicare reassignment NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1790171353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22029 STATE ROAD 7 STE 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284200",
            "telephone_number": "561-923-0905",
            "fax_number": "561-443-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22029 STATE ROAD 7 STE 1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284200",
            "telephone_number": "561-923-0905",
            "fax_number": "561-443-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME139044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103613400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Sanders Ruderman, PHARM.D.
• Rudi E Ide & Assoc Inc
• Michelle Joann Rudinsky, M.D.
• Chad Rudnick, M.D.
• Danielle A Rudnick, PA
• Jane Rudolph, MD OBGYN
• Carlie Ruffolo
• Marisol Ruiz, DMD
• Steven Michael Ruiz, MD
• Chanrecle Erainal Rumpasard, APRN

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.