Individual provider Active NPI

Steven Alan Rudd, M.D.

  • Diagnostic Radiology Physician
  • Utica, NY
National Provider Identifier
1932248184
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MA63466 Issued in NJ
Practice address
1676 Sunset Ave
Utica, NY 13502-5416
Phone
(315) 624-4600
NPI assigned
Feb 5, 2007
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MA63466 NJ Primary

Addresses

Primary practice location

1676 Sunset Ave
Utica, NY 13502-5416

Mailing address

185 Genesee St Ste 600
Utica, NY 13501-2199
Phone (315) 793-8806

Other practice location 1

1050 Clove Rd
Staten Island, NY 10301-3627
Phone (718) 816-6440

Other identifiers 1

IdentifierTypeStateIssuer
7393601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20050825000440 NJ Practitioner - Diagnostic Radiology 2668403049 Reassigns benefits to 1 organization
I20080616000010 NY Practitioner - Diagnostic Radiology 2668403049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of New Hartford LLPGroup PAC ID 6002807831, 21 clinicians
Cmi Professional ServicesGroup PAC ID 2466419718, 13 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7027

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 624-5567

1729 Burrstone Rd
New Hartford, NY 13413-1001
Phone (315) 624-3750

300 E 33Rd St
Apt 3M
New York, NY 10016-9405
Phone (315) 338-7027

601 State St
Utica, NY 13502-4208
Phone (315) 914-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA63466NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A.G. Dikengil, MD, PA CurrentSince Jul 1, 2021 Accepting new patients
Radiology Associates of New Hartford LLP Diagnostic Radiology CurrentSince Jan 26, 2016 Accepting new patients
Cmi Professional Services CurrentSince Jan 25, 2016 Accepting new patients
Northeast Hospital Physicians, P.a. Past Accepting new patients
Staten Island Physician Practice PC Family Medicine Past Accepting new patients
Hackettstown Open MRI Diagnostic Radiology Past Accepting new patients
Roxbury Open MRI and Surgical Center LLC Past Accepting new patients

Locations

736 Page Ave
Lyndhurst, NJ 07071
Phone (201) 531-9006

201 E State St
Herkimer, NY 13350
Phone (315) 574-0026

1729 Burrstone Rd
New Hartford, NY 13413
Phone (315) 798-1500

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

1801 Black River Blvd N
Rome, NY 13440
Phone (315) 337-3770

107 Business Park Dr
Utica, NY 13502
Phone (315) 792-4666

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

185 Genesee St
Ste 600
Utica, NY 13501
Phone (315) 793-5506

1903 Sunset Ave
Ste 3
Utica, NY 13502
Phone (315) 797-1212

2150 Bleecker St
Utica, NY 13501
Phone (315) 798-4800

Interoperability endpoints

  • Direct secure messaging: srudd11950@mvhealthsystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1932248184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST STE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-624-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Clove Rd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013627",
            "country_code": "US",
            "telephone_number": "718-816-6440",
            "fax_number": "718-816-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA63466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7393601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.