RAUL D RUDELLI MD
NPI 1124049671
Pathology - Clinical Pathology/Laboratory Medicine in West New York, NJ

Q: What is Raul Rudelli's NPI number?

The NPI number for Raul Rudelli is 1124049671. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Raul Rudelli's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Q: When was this NPI record last updated?

The NPPES record for Raul Rudelli was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 21, 2006PECOS Enrolled

100/100

CMS Quality Rating

230 60TH ST, WEST NEW YORK, NJ 07093(347) 996-9422 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Raul D Rudelli Md NPPES

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

RAUL D RUDELLI MD (NPI 1124049671) is an individual clinical pathology/laboratory medicine provider in West New York, New Jersey, licensed in New York (143179) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124049671

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameRAUL D RUDELLICredential: MD

Location Address230 60TH STWest New York, NJ 07093-2824

Mailing Address230 60th StWest New York, NJ 07093-2824

Phone(347) 996-9422

Sole ProprietorNo

Enumeration DateJuly 21, 2006

Last NPPES UpdateFebruary 9, 2011

✔ NPI 1124049671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in NY · 143179

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MA39697 (NJ)

230 60TH ST, West New York, NJ 07093

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Other Identifiers 3

Medicaid6404405NJ

Medicare UPINB17747

Medicare PIN606150DHBNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul D Rudelli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Raul Rudelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Murray Hill Urology, PC

3.3 mi

Urology

120 E 34TH ST
New York, NY 10016

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1255713541 (212) 686-1140

Endo Associates Of Staten Island, PLLC

16 mi

Anesthesiology

360 EDISON ST
Staten Island, NY 10306

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1518107283 (718) 351-6389

Sottile & Megna MD PC

16 mi

Gastroenterology

360 EDISON ST
Staten Island, NY 10306

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1508846296 (718) 351-6377

Dimitri N Kessaris Mdpc

16 mi

Urology

315 EAST SHORE ROAD
Manhasset, NY 11030

Reassigned Medicare billing, New York enrollment
27 clinicians in this Medicare group

NPI 1154430148 (516) 487-5577

Babylon Medical Practice, P.C.

36 mi

Internal Medicine

350 WEST MAIN ST
Babylon, NY 11702

Reassigned Medicare billing, New York enrollment
19 clinicians in this Medicare group

NPI 1811967805 (631) 661-2277

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 25

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.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

6,747 services397 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

2,078 services397 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

930 services848 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

926 services845 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

582 services522 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

569 services514 patients

Cell examination of urine, manual 88120

A cell examination of urine, manually done, is a lab test where your urine is studied under a microscope. This helps identify any abnormal cells or substances in your urine, like bacteria or crystals, that could indicate health issues. It's a simple, non-invasive procedure.

560 services505 patients

Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique 87556

A detection test by nucleic acid for Mycobacteria Tuberculosis, using an amplified probe technique, is a diagnostic test for TB. It identifies the TB bacteria's genetic material in your body. It's fast, highly accurate, and can confirm TB presence even in small samples.

520 services397 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

520 services398 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

520 services397 patients

Screening test for pathogenic organisms 87081

A screening test for pathogenic organisms is a routine check-up procedure. It helps to identify harmful microorganisms in your body that can cause diseases. This involves collecting a sample like blood, saliva, or tissue, which is then examined in a lab for signs of these organisms.

495 services396 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

357 services317 patients

Testosterone (hormone) level, total 84403

A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.

237 services214 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

179 services158 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

164 services119 patients

Detection test for gardnerella vaginalis (bacteria), amplified probe technique 87511

This test helps find a specific type of bacteria in the body. It uses a method called the amplified probe technique, which amplifies the bacteria's genetic material, making it easier to detect. It's a standard, pain-free procedure.

160 services112 patients

Prolactin (milk producing hormone) level 84146

A prolactin level test measures the amount of a hormone, prolactin, in your blood. This hormone plays a role in many bodily functions, such as the creation of milk. High or low levels can indicate certain health conditions. The test involves a simple blood draw.

117 services112 patients

Gonadotropin, follicle stimulating (reproductive hormone) level 83001

This is a test that measures the level of a hormone in your body known as follicle stimulating hormone (FSH). FSH plays a key role in the body's reproductive processes. It's important for growth and the healthy functioning of the body.

115 services112 patients

Gonadotropin, luteinizing (reproductive hormone) level 83002

This is a blood test that measures the level of luteinizing hormone (LH). LH plays a key role in body growth and development. It's important for the proper functioning of certain glands. Irregular levels can indicate potential health issues.

115 services112 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

62 services55 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

16 services13 patients

Detection of mycoplasma genitalium by dna or rna probe 87563

This procedure involves the use of special probes to identify the presence of a specific bacteria, Mycoplasma Genitalium, in your body. These probes detect the bacteria's unique DNA or RNA, helping to confirm if you have an infection.

14 services13 patients

Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique 87496

A detection test by nucleic acid for cytomegalovirus (CMV) using an amplified probe technique is a lab procedure. It identifies the presence of CMV, a common virus, in your body. This technique amplifies the virus's genetic material, making it easier to detect.

12 services12 patients

Detection test by nucleic acid for herpes virus-6, amplified probe technique 87532

A detection test by nucleic acid for herpes virus-6, amplified probe technique, is a lab procedure that identifies the presence of herpes virus-6 in your body. It does this by amplifying and detecting the virus's genetic material, aiding in accurate diagnosis and treatment planning.

12 services12 patients

Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique 87661

This is a test to identify a common microscopic organism that can cause discomfort. The technique involves using a special probe to amplify the organism's genetic material, making it easier to detect. It's a simple, safe, and accurate procedure.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07093 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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 Raul Rudelli's NPI number?

The NPI number for Raul Rudelli is 1124049671. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Raul Rudelli located?

Raul Rudelli practices at 230 60th St, West New York, NJ 07093. The listed phone number is (347) 996-9422.

What is Raul Rudelli's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Raul Rudelli enrolled in Medicare?

Yes. Raul Rudelli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raul Rudelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Rudelli reassigns Medicare benefits to 5 organizations: Murray Hill Urology, PC (New York, NY), Endo Associates Of Staten Island, PLLC (Staten Island, NY), Sottile & Megna MD PC (Staten Island, NY), Dimitri N Kessaris Mdpc (Manhasset, NY) and Babylon Medical Practice, P.C. (Babylon, NY). 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 Raul Rudelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Rudelli accept?

Health plans from Oscar Health list Raul Rudelli 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.

When was this NPI record last updated?

The NPPES record for Raul Rudelli was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.