Active NPI
Kevin P Rudny, MD
- Diagnostic Radiology Physician
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 39053
- Practice address
- 10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078 - Phone
- (262) 292-3151
- Fax
- (858) 546-3900
- NPI assigned
- Aug 18, 2006
- Last updated
- May 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 39053 | TN | Primary |
Addresses
Primary practice location
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
W231N1440 Corporate Ct
Waukesha, WI 53186-1303
Phone (262) 896-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100148043 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0 | Other | Ability Network |
| Direct Messaging Address | krudny451662@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700
10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830
12831 N Port Washington Rd
Mequon, WI 53097-2416
Phone (414) 973-7844
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000
2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000
3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5000
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8300
3811 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-5300
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension All Saints Hospital
- Ascension SE Wisconsin Hospital
- Aurora St Lukes Medical Center
- Aurora Medical Center Kenosha
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72321 | CA | MD | Pharmacist |
| 39053 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Radiology Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Precision Radiology - Illinois LTD | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Golding Radiology, LTD | Diagnostic Radiology | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| X-Ray Associates of Louisville PSC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Absolute Rehab Inc | Past | Accepting new patients | |
| Sumner Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128
Phone (855) 835-3723
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
1784 Browning Way
Ste B
Elko, NV 89801
Phone (775) 323-5083
2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
10945 N Port Washington Rd
Ste 201
Thiensville, WI 53092
Phone (262) 478-0301
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Interoperability endpoints
- krudny451662@direct.myadvocateaurora.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
dba Advanced Radiology, LTD
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1588943328
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Specialist
- Mequon, WI
- NPI 1568446003
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1285735571
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1841304029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10945 N PORT WASHINGTON RD STE 201",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925078",
"telephone_number": "262-292-3151",
"fax_number": "858-546-3900"
}
],
"practiceLocations": [
{
"address_1": "W231N1440 Corporate Ct",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531861303",
"country_code": "US",
"telephone_number": "262-896-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDNY",
"first_name": "KEVIN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "39053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100148043",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0",
"affiliation": "Y",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": ": CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "W231N1440 Corporate Ct",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531861303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krudny451662@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "W231N1440 Corporate Ct",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531861303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "W231N1440 Corporate Ct",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531861303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.