DR. RUDOLF ISKANDAR M.D.
NPI 1154420669
Preventive Medicine - Occupational Medicine in Rancho Cordova, CA

Q: What is Rudolf Iskandar's NPI number?

The NPI number for Rudolf Iskandar is 1154420669. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Rudolf Iskandar's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Rudolf Iskandar was last updated on December 17, 2021. 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 September 21, 2006PECOS Enrolled

11121 SUN CENTER DR, #A, RANCHO CORDOVA, CA 95670(916) 635-3570(916) 852-8402 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Rudolf Iskandar M.d. NPPES

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

DR. RUDOLF ISKANDAR M.D. (NPI 1154420669) is an individual occupational medicine provider in Rancho Cordova, California, licensed in California (A67879) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154420669

Entity TypeIndividualMale

Primary Taxonomy2083X0100X

Provider Legal NameDR. RUDOLF ISKANDARCredential: M.D.

Location Address11121 SUN CENTER DR, #ARancho Cordova, CA 95670-6161

Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071

Phone(916) 635-3570

Fax(916) 852-8402

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateDecember 17, 2021

✔ NPI 1154420669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in CA · A67879

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

11121 SUN CENTER DR, Rancho Cordova, CA 95670

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rudolf Iskandar M.d. 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 Reassignment

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

Permanente Medical Group Inc

40 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

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

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95670 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

Other Providers at the Same Location NPPES 16

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

DAVID M HOUCK OT

Occupational Therapist

11121 SUN CENTER DR, SUITE A
RANCHO CORDOVA, CA 95670

Sacramento County (800) 470-0071

MARY BLOOMER RN, CNOR, CNIM

Registered Nurse (Medical-Surgical)

11121 SUN CENTER DR, SUITE G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-0112

MR. TREVOR M ROBERTS MPT

Physical Therapist

11121 SUN CENTER DR
RANCHO CORDOVA, CA 95670

Sacramento County (916) 635-3570

MADISON V GREENWOOD

Counselor (Mental Health)

11121 SUN CENTER DR
RANCHO CORDOVA, CA 95670

Sacramento County (530) 409-1075

DONALD ARTHUR STOSSMEISTER R.EDT, CNIM

Technician, Other

11121 SUN CENTER DR, SUITE G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-0112

JUSTINL BREEN

Specialist/Technologist, Other (Electroneurodiagnostic)

11121 SUN CENTER DR, SUITE G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-0112

MARK BILLIOU TWEDE R.EEG T., CNIM

Technician, Other

11121 SUN CENTER DR, SUITE G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-0112

GREG REEDER-ESPARZA CNIM

Technician, Other

11121 SUN CENTER DR, SUITE G
RANCHO CORDOVA, CA 95670

Sacramento County (916) 631-0112

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 Rudolf Iskandar's NPI number?

The NPI number for Rudolf Iskandar is 1154420669. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Rudolf Iskandar located?

Rudolf Iskandar practices at 11121 Sun Center Dr #a, Rancho Cordova, CA 95670. The listed phone number is (916) 635-3570.

What is Rudolf Iskandar's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Rudolf Iskandar enrolled in Medicare?

Yes. Rudolf Iskandar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rudolf Iskandar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudolf Iskandar reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Rudolf Iskandar'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 Rudolf Iskandar was last updated on December 17, 2021. 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.