Jonathan B Rudolf, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2004-0021 Issued in NM

Practice address

4101 Cristo Rey St
Farmington, NM 87401-8615

Phone

(505) 325-4380

Fax

(505) 207-4463

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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 NM, CO2 enrollments

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 2

Specialty

Emergency Medicine

Education

Temple University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Animas Surgical Hospital, LLC

  • Emergency Medicine Physician
  • Durango, CO
  • NPI 1861721714
  Medicare reassignment Care Compare group NPD
• Taos Health Systems Inc Holy Cross Hospital

  • General Acute Care Hospital
  • Taos, NM
  • NPI 1194751958

  Emergency Medicine

  Medicare reassignment NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Arvada, CO
  • NPI 1053824979
  Medicare reassignment NPD
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment NPD
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD
• Animas Surgical Hospital, LLC

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1194161422
  NPD
• Durango Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Durango, CO
  • NPI 1548870603
  NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Breckenridge, CO
  • NPI 1003549460
  NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Dacono, CO
  • NPI 1548895030
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1023644515
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1720614217
  NPD

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

• Animas Surgical Hospital, LLC

  • Internal Medicine Physician
  • Durango, CO
  • NPI 1184178238

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1194161422

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  • Occupational Medicine Physician
  • Durango, CO
  • NPI 1497071435

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1508842964
  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1851366561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CRISTO REY ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018615",
            "telephone_number": "505-325-4380",
            "fax_number": "505-207-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CRISTO REY ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018615",
            "telephone_number": "505-325-4380",
            "fax_number": "505-207-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLF",
        "first_name": "JONATHAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2004-0021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97526550",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rowe, DC
• Jeremy Sean Rowse, D.C.
• Ryan Taylor Rowse, DC
• Sarah Rubow, LCSW
• Kyle Ellis Ruckman, PA-C
• Roger G. Rung, P.T.
• Elysia Russell, LCSW
• Gordon D. Russell, O.D.
• Lacy Russell, WHNP-BC
• Virginia Russell

• Emergency Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Emergency Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.