Michael T. Rudikoff, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D18095 Issued in MD

Practice address

1838 Greene Tree Rd Ste 120
Pikesville, MD 21208-7108

Phone

(443) 471-0480

Fax

(410) 584-1885

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14466/brand/1/csg/1/fhir/r4
• Direct secure messaging: michael.rudikoff.p2@direct.clinicalassociates.nextgenshare.com

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.

• Baltimore Suburban Health, LLC

  • Internal Medicine Physician
  • Owings Mills, MD
  • NPI 1013955723
  NPD (past)
• Clinical Associates P a

  dba Clinical Associates, ASC

  • Ambulatory Surgical Clinic/Center
  • Towson, MD
  • NPI 1982074001
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1932141868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868518",
            "telephone_number": "443-471-0480",
            "fax_number": "410-584-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 120",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "443-471-0480",
            "fax_number": "410-584-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIKOFF",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D18095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35880170",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zaynee Nikunj Roy
• Joy Royster
• Shamera Royster
• Bernard Rubin, M.D.
• Suzanne Edythe Rubin, CPNP
• Brian Rudo
• Emma Rulli
• Kaliah Cynice Rumber
• McKenzie Colleen Ruszczyk
• Brittany Beth Ruth

• Internal Medicine Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.