Leonard M. Rudolf, M.D

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

7449 Issued in NH

Practice address

17 Alice Peck Day Dr Unit C
Lebanon, NH 03766-2684

Phone

(603) 448-6344

Fax

(603) 448-3405

NPI assigned

Dec 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: rudolfl@apdmh.gwaydirect.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.

• Alice Peck Day Memorial Hospital

  • Critical Access Hospital
  • Lebanon, NH
  • NPI 1003803495

  Orthopaedic Surgery

  Medicare reassignment NPD
• Alice Peck Day Memorial Hospital

  dba Physician Practices at Alice Peck Day

  • Family Medicine Physician
  • Lebanon, NH
  • NPI 1073569810

  Orthopaedic Surgery

  NPD
• Alice Peck Day Memorial Hospital

  dba APD Podiatric Foot and Ankle Specialist

  • Podiatrist
  • Lebanon, NH
  • NPI 1942691829
  NPD

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1952388712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662694",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ALICE PECK DAY DR UNIT C",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662684",
            "telephone_number": "603-448-6344",
            "fax_number": "603-448-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLF",
        "first_name": "LEONARD",
        "middle_name": "M.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "7449",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NH",
            "license": "7449",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VT",
            "license": "0420007597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207509",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B PTAN",
            "identifier": "VN224302",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NH0016",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009184",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Stephen Rouleau
• Joshua Michael Rovner, DO
• David Rozolsky
• Alan A. Rozycki, MD
• Emily Sue Ruckdeschel, M.D.
• Sylvie C Rudolf, MD
• Eric Ruiz, LICSW
• Deborah Rukin Gold, MD
• Julia Rumley
• Dustin Michael Runzo

• Orthopaedic Surgery Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Orthopaedic Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.