DR. RUDOLPH MICHAEL TOVAR M.D.
NPI 1063453470
Obstetrics & Gynecology in Lexington, KY
About Dr. Rudolph Michael Tovar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUDOLPH MICHAEL TOVAR M.D. (NPI 1063453470) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (40221) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of University Of Texas Medical School At Houston (2002).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Rudolph Michael Tovar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Rudolph Tovar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph London
Acute Care Hospitals · London, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rudolph Tovar's NPI number?
The NPI number for Rudolph Tovar is 1063453470. It was assigned to this individual provider in the NPPES registry on June 9, 2006.
Where is Rudolph Tovar located?
Rudolph Tovar practices at 800 Rose Street Rm. C-358, Lexington, KY 40536. The listed phone number is (859) 257-2321.
What is Rudolph Tovar's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Rudolph Tovar enrolled in Medicare?
Yes. Rudolph Tovar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rudolph Tovar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolph Tovar reassigns Medicare benefits to 2 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY) and London Women's Care, LLC (London, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rudolph Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rudolph Tovar accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Rudolph Tovar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rudolph Tovar affiliated with any hospitals?
According to CMS data, Rudolph Tovar is affiliated with Saint Joseph London.
When was this NPI record last updated?
The NPPES record for Rudolph Tovar was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Rudolph Michael Tovar, M.D. · NPI 1063453470
Obstetrics & Gynecology physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since June 9, 2006.
## Identity
- **NPI:** 1063453470 (Entity type: Individual)
- **Enumerated:** June 9, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 40221 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE STREET RM. C-358, Lexington, KY 40536-0001
- **Phone:** (859) 257-2321 · **Fax:** (859) 257-9089
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY); London Women's Care, LLC (NPI 1063454650, London, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 2002
## Record status
- **NPPES last updated:** June 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063453470) · Data from the CMS NPPES public registry.