NPIMap

Individual provider Active NPI

Harry Peter Rudolph IV, M.D.

  • Orthopaedic Surgery Physician
  • Charleston, SC
National Provider Identifier
1871589697
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
31409 Issued in SC
Practice address
2270 Ashley Crossing Dr Ste 110
Charleston, SC 29414-5749
Phone
(843) 853-3474
Fax
(843) 853-3500
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 31409 SC Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr Ste 110
Charleston, SC 29414-5749

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other identifiers 2

IdentifierTypeStateIssuer
P00834842OtherSCRAILROAD MEDICARE ID-RSFPN
N00335MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Harry.Rudolph@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090128000383 SC Practitioner - Orthopedic Surgery 0840389029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2270 Ashley Crossing Dr
Charleston, SC 29414-5749

300 Callen Blvd
Summerville, SC 29486-2809

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

325 Folly Rd
Charleston, SC 29412-2507

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

8950 University Blvd
North Charleston, SC 29406-9115

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Feb 1, 2010 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper St. Francis Specialty Physicians Orthopaedic Surgery CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Feb 1, 2010 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Rutherford Hospital, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

2270 Ashley Crossing Dr
Ste 110
Charleston, SC 29414
Phone (843) 769-2000

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

325 Folly Rd
Ste 205
Charleston, SC 29412
Phone (843) 766-6494

255 E Bay St
Charleston, SC 29401

1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651

2061 Highway 52
Moncks Corner, SC 29461
Phone (843) 761-4622

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: harry.rudolph@rsfpp.eclinicaldirectplus.com
  • Direct secure messaging: hrudolph1235942@direct.bsmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1871589697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR STE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145749",
            "telephone_number": "843-853-3474",
            "fax_number": "843-853-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "HARRY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "31409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID-RSFPN",
            "identifier": "P00834842",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00335",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Harry.Rudolph@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "255 E Bay St",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294012632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.