Individual provider Active NPI

Robert Link Rundorff, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Johnstown, PA
National Provider Identifier
1932140936
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
038167E Issued in PA
Practice address
16 Rose St
Johnstown, PA 15905-4327
Phone
(814) 539-0257
Fax
(814) 536-0963
NPI assigned
Jun 9, 2006
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 038167E PA
Physical Medicine & Rehabilitation Physician 208100000X 038167E PA Primary

Addresses

Primary practice location

16 Rose St
Johnstown, PA 15905-4327

Mailing address

16 Rose St
Johnstown, PA 15905-4327
Phone (814) 539-0257

Other identifiers 6

IdentifierTypeStateIssuer
1025247OtherPAGATEWAY PROVIDER ID NUMBE
1360107OtherPAUMWA PROVIDER ID NO
78619OtherPAUNISON MEDPLUS ID NO
250001342OtherPATRAVELERS MEDICARE
0010835360004MedicaidPA
P025109OtherPACHAMPUS ID NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20060405000546 PA Practitioner - Physical Medicine and Rehabilitation 4385652171

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038167EPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conemaugh Valley Memorial Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robertrundorff@rrmd.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1932140936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROSE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054327",
            "telephone_number": "814-539-0257",
            "fax_number": "814-536-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROSE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054327",
            "telephone_number": "814-539-0257",
            "fax_number": "814-536-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDORFF",
        "first_name": "ROBERT",
        "middle_name": "LINK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "038167E",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "038167E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER ID NUMBE",
            "identifier": "1025247",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA PROVIDER ID NO",
            "identifier": "1360107",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON MEDPLUS ID NO",
            "identifier": "78619",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "250001342",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010835360004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS ID NO.",
            "identifier": "P025109",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.