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WILLIAM LAWRENCE RUDBERG JR. P.A.
NPI 1194942243
Physician Assistant - Surgical in Troy, MI

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
44201 DEQUINDRE RD, TROY, MI 48085(248) 964-8432 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Lawrence Rudberg Jr. P.a. NPPES

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

WILLIAM LAWRENCE RUDBERG JR. P.A. (NPI 1194942243) is an individual surgical provider in Troy, Michigan, licensed in Michigan (5601002995) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and maintains a secondary practice location in Grand Blanc.

NPPES Registry Identity

NPI1194942243
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWILLIAM LAWRENCE RUDBERG JR.Credential: P.A.
Location Address44201 DEQUINDRE RDTroy, MI 48085-1117
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(248) 964-8432
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 19, 2007
Last NPPES UpdateMarch 21, 2025
NPPES CertifiedMarch 19, 2025
✔ NPI 1194942243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601002995
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601002995 (MI)
44201 DEQUINDRE RD, Troy, MI 48085
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Genesys Pkwy Ste 3452Grand Blanc, MI 48439-8065 · Phone (248) 849-2600 · Fax (248) 849-2610

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Lawrence Rudberg Jr. P.a. 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 ID5799769303
PECOS Enrollment IDI20040614000215
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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

HARINI ERUPAKA REDDY M.D.
Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-1007
JOSLEEN ALBISHARA
Pharmacist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
STEPHANIE ANNE DAVENPORT PAC
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
KRISTEN M LIGHT DNP, RN, AGPCNP-BC
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
ELLEN O MCGUIRE
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
SAMANTHA GRACE HENDERSON PA-C
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
DAVID DONALDSON
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Oakland County (248) 964-8787
SHARON LINDOW
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000

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 William Rudberg's NPI number?

The NPI number for William Rudberg is 1194942243. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is William Rudberg located?

William Rudberg practices at 44201 Dequindre Rd, Troy, MI 48085. The listed phone number is (248) 964-8432.

What is William Rudberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is William Rudberg enrolled in Medicare?

Yes. William Rudberg 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.

What insurance does William Rudberg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list William Rudberg 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 William Rudberg affiliated with any hospitals?

According to CMS data, William Rudberg is affiliated with Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for William Rudberg was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.