NPIMap

Individual provider Active NPI

Jason Rudd, M.D.

  • Orthopaedic Surgery Physician
  • Covington, LA
National Provider Identifier
1881821668
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.204827 Issued in LA
Practice address
1200 Pinnacle Pkwy
Suite 3
Covington, LA 70433-9167
Phone
(985) 674-1700
Fax
(985) 674-1722
NPI assigned
Jun 18, 2009
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 MD.204827 LA Primary

Addresses

Primary practice location

1200 Pinnacle Pkwy
Suite 3
Covington, LA 70433-9167

Mailing address

1200 Pinnacle Pkwy
Suite 3
Covington, LA 70433-9167
Phone (985) 674-1700

Other practice location 1

433 Plaza St Ste 2B
Bogalusa, LA 70427-3729
Phone (985) 730-7034

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jrudd15815@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140922001117 LA Practitioner - Orthopedic Surgery 0547484396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians

Practice addresses (Care Compare)

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement34
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204827LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
Avala Physician Network, LLC Orthopaedic Surgery CurrentSince Apr 1, 2022 Accepting new patients
Our Lady of the Angels Hospital, Inc. Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

433 Plaza St
#2B
Bogalusa, LA 70427

433 Plaza St
Ste 2B
Bogalusa, LA 70427
Phone (985) 730-6922

1200 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 674-1700

1200 Pinnacle Pkwy
Ste 3
Covington, LA 70433
Phone (985) 674-1700

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1881821668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY",
            "address_2": "SUITE 3",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339167",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY",
            "address_2": "SUITE 3",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339167",
            "telephone_number": "985-674-1700",
            "fax_number": "985-674-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-7034",
            "fax_number": "985-730-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.204827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrudd15815@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jrudd15815@direct.casso.us.com",
            "address_1": "433 Plaza St Ste 2B",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St Ste 2B",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.