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RAYMOND RUDOLPH MD
NPI 1295836617
Surgery in Savannah, GA

Active since September 26, 2006PECOS Enrolled
4700 WATERS AVE, SUITE 405, SAVANNAH, GA 31404(912) 350-2700(912) 350-2715 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raymond Rudolph Md NPPES

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

RAYMOND RUDOLPH MD (NPI 1295836617) is an individual surgery provider in Savannah, Georgia, licensed in Georgia (30205) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295836617
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAYMOND RUDOLPHCredential: MD
Location Address4700 WATERS AVE, SUITE 405Savannah, GA 31404-6220
Mailing Address4700 Waters Ave, Suite 405Savannah, GA 31404-6220 · (912) 350-2700 · Fax (912) 350-2715
Phone(912) 350-2700
Fax(912) 350-2715
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 26, 2013
✔ NPI 1295836617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 30205✔ Licensed in SC · 21641
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4700 WATERS AVE, Savannah, GA 31404
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Other Identifiers 21

Medicaid000453043BGA
Medicare PINE762177416SC
MedicaidG30205SC
OtherP00955071GA · Railroad Medicare
Medicare PIN202I029756GA
Other020050906SC · Railroad Medicare
Medicare PINAA66439141SC
Medicaid000453043MGA
OtherP00955061SC · Railroad Medicare
Medicaid000453043EGA
Medicaid000453043IGA
Medicaid000453043JGA
Medicaid000453043LGA
Other349825GA · Wellcare
Medicaid000453043DGA
Other020047969GA · Railroad Medicare
Medicare UPINE76217
Medicare PINSC00757416SC
Medicare PIN02BBCNTGA
Other10065386GA · Amerigroup
Medicaid000453043GGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond Rudolph 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 Reassignment

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

Mppg, Inc.
0.2 mi
Family Medicine
4731 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 104 clinicians in this Medicare group
NPI 1033131172 (912) 350-4905

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 31404 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 20

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

KRISTEN BEELER DO
Pediatrics (Neonatal-Perinatal Medicine)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
ERIN NICOLLE JOHNSON MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
DR. RAMON VERNON MEGUIAR M.D.
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Chatham County (912) 350-9456
BETHANY LANDIS STEARNS ATC
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
JEAN TOFFEY DO
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
BRADLEY POST
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-3849
PETER MICHAEL BRITT MD
Radiology (Vascular & Interventional Radiology)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8436

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 Raymond Rudolph's NPI number?

The NPI number for Raymond Rudolph is 1295836617. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Raymond Rudolph located?

Raymond Rudolph practices at 4700 Waters Ave Suite 405, Savannah, GA 31404. The listed phone number is (912) 350-2700.

What is Raymond Rudolph's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Raymond Rudolph enrolled in Medicare?

Yes. Raymond Rudolph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raymond Rudolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Rudolph reassigns Medicare benefits to Mppg, Inc. (Savannah, GA). 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 Raymond Rudolph'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 Raymond Rudolph was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.