STEPHEN JAMES RUDOLPH MD
NPI 1205970258
Internal Medicine - Gastroenterology in Saint Paul, MN

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
2550 UNIVERSITY AVE W, SUITE 423 SOUTH, SAINT PAUL, MN 55114(612) 817-1145(651) 641-0556 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen James Rudolph Md NPPES

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

STEPHEN JAMES RUDOLPH MD (NPI 1205970258) is an individual gastroenterology provider in Saint Paul, Minnesota, licensed in Minnesota (45608) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1205970258
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSTEPHEN JAMES RUDOLPHCredential: MD
Location Address2550 UNIVERSITY AVE W, SUITE 423 SOUTHSaint Paul, MN 55114-1052
Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (651) 641-0556
Fax(651) 641-0556
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateFebruary 15, 2007
Last NPPES UpdateNovember 28, 2007
NPI 1205970258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MN · 45608
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2550 UNIVERSITY AVE W, Saint Paul, MN 55114

Other Identifiers 2

Medicare PINRR PTAN P00418228MN
Medicare UPINI72161MN

Accepted 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

Stephen James Rudolph Md 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 ID9931206588
PECOS Enrollment IDI20070516000505
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 15

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
5,100 services13 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
225 services105 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
81 services81 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
57 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Marriage & Family Therapist
2550 UNIVERSITY AVE W, STE 435 S
SAINT PAUL, MN 55114
Internal Medicine (Gastroenterology)
2550 UNIVERSITY AVE W, SUITE 423 SOUTH
SAINT PAUL, MN 55114
Dietitian, Registered
2550 UNIVERSITY AVE W
SAINT PAUL, MN 55114
Marriage & Family Therapist
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Psychologist (Clinical)
2550 UNIVERSITY AVE W, SUITE 314N
SAINT PAUL, MN 55114
Physical Therapist
2550 UNIVERSITY AVE W, SUITE 189S
SAINT PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVE W, STE 229N
SAINT PAUL, MN 55114
Physician Assistant (Medical)
2550 UNIVERSITY AVE W, SUITE 110N
SAINT PAUL, MN 55114

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 Stephen Rudolph's NPI number?

The NPI number for Stephen Rudolph is 1205970258. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Stephen Rudolph located?

Stephen Rudolph practices at 2550 University Ave W Suite 423 South, Saint Paul, MN 55114. The listed phone number is (612) 817-1145.

What is Stephen Rudolph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Stephen Rudolph enrolled in Medicare?

Yes. Stephen Rudolph 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 Stephen Rudolph accept?

Health plans from HealthPartners and Medica list Stephen Rudolph 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 Stephen Rudolph affiliated with any hospitals?

According to CMS data, Stephen Rudolph is affiliated with Abbott Northwestern Hospital, M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Rudolph was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.