NICHOLAS THOMAS RUDNICK M.D.
NPI 1104119544
Radiology - Diagnostic Radiology in Santa Cruz, CA

Q: What is Nicholas Rudnick's NPI number?

The NPI number for Nicholas Rudnick is 1104119544. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Q: What is Nicholas Rudnick's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Rudnick was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment

1661 SOQUEL DR STE G, SANTA CRUZ, CA 95065(831) 476-7711(831) 462-0581 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2022, May 30, 2019, Aug 29, 2017 and 1 more (4 updates tracked since 2015).

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About Nicholas Thomas Rudnick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS THOMAS RUDNICK M.D. (NPI 1104119544) is an individual diagnostic radiology provider in Santa Cruz, California, licensed in California (A148749) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2010).

NPPES Registry Identity

NPI1104119544

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameNICHOLAS THOMAS RUDNICKCredential: M.D.

Location Address1661 SOQUEL DR STE GSanta Cruz, CA 95065-1709

Mailing Address1411 E 31st St, Radiology Department 3rd FloorOakland, CA 94602 · (510) 437-4800

Phone(831) 476-7711

Fax(831) 462-0581

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 2010

Enumeration DateMay 18, 2011

Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration

✔ NPI 1104119544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A148749

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1661 SOQUEL DR STE G, Santa Cruz, CA 95065

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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

Nicholas Thomas Rudnick 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.

PECOS PAC ID8628370715

PECOS Enrollment IDI20170719002889

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Rudnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

24 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

70 services54 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

55 services55 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

30 services30 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

13 services11 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

12 services12 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$77.84 typical visit price

range $21.02 – $153.16

Typical copayment $19.46 (range $5.25 – $38.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVAN SIRC MD

Radiology (Diagnostic Radiology)

1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065

Santa Cruz County (831) 476-7711

DUSTIN NEWELL MD

Radiology (Diagnostic Radiology)

1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065

Santa Cruz County (831) 476-7711

DR. HOANG ANH TRAN VO M.D.

Radiology (Diagnostic Radiology)

1661 SOQUEL DR STE G
SANTA CRUZ, CA 95065

Santa Cruz County (831) 476-7711

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 Nicholas Rudnick's NPI number?

The NPI number for Nicholas Rudnick is 1104119544. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Nicholas Rudnick located?

Nicholas Rudnick practices at 1661 Soquel Dr Ste G, Santa Cruz, CA 95065. The listed phone number is (831) 476-7711.

What is Nicholas Rudnick's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicholas Rudnick enrolled in Medicare?

Yes. Nicholas Rudnick 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 organization bills Medicare for Nicholas Rudnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Rudnick reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Nicholas Rudnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Rudnick was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.