1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Emergency Medicine
  6. NPI Profile

DR. JAMES RAYMOND RUDOLPH M.D.
NPI 1306863923
Emergency Medicine in Fort Wayne, IN

Active since July 17, 2006
2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5531 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Raymond Rudolph M.d. NPPES

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

DR. JAMES RAYMOND RUDOLPH M.D. (NPI 1306863923) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (01031169A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1306863923
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES RAYMOND RUDOLPHCredential: M.D.
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address1848 S Deer Park DrPeru, IN 46970-7279 · (765) 472-7629
Phone(260) 426-5531
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 15, 2013
✔ NPI 1306863923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01031169A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2121 LAKE AVE, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Identifiers 7

Medicaid100366510AIN
Medicare PIN131180GGIN
Medicare PIN862280GGIN
Medicare UPINC24883
Medicaid100366510IN
Medicare PIN862280GIN
Medicare PIN142190NIN

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.

TAMMY MOEHLE
Registered Nurse (Oncology)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. CALEB ANDREW MOSSBURG PHARMD
Pharmacist
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. ASHLEY M FULTON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
HANNAH DULINSKY RN
Registered Nurse (Home Health)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 460-1445
DANIELLE SCHULTZ
Registered Nurse
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. IAN H. COOK M.D.
Surgery
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805
Allen County (260) 426-5431
SCOTT KRUSE
Social Worker (Clinical)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
MONICA JANE HALL
Registered Nurse (General Practice)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 456-0543

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 James Rudolph's NPI number?

The NPI number for James Rudolph is 1306863923. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is James Rudolph located?

James Rudolph practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5531.

What is James Rudolph's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for James Rudolph was last updated on April 15, 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.