DR. RUDY HARTONO TAAREA MD
NPI 1336121862
Preventive Medicine - Aerospace Medicine in Opp, AL

Q: What is Rudy Taarea's NPI number?

The NPI number for Rudy Taarea is 1336121862. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Rudy Taarea's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Q: When was this NPI record last updated?

The NPPES record for Rudy Taarea was last updated on November 20, 2012. 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.

Active since November 18, 2005PECOS Enrolled

511 BRANTLEY ST, OPP, AL 36467(334) 493-3240 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Rudy Hartono Taarea Md NPPES

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

DR. RUDY HARTONO TAAREA MD (NPI 1336121862) is an individual aerospace medicine provider in Opp, Alabama, licensed in Alabama (AL19483) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336121862

Entity TypeIndividualMale

Primary Taxonomy2083A0100X

Provider Legal NameDR. RUDY HARTONO TAAREACredential: MD

Location Address511 BRANTLEY STOpp, AL 36467-1702

Mailing Address511 Brantley StOpp, AL 36467-1702 · (334) 493-3240

Phone(334) 493-3240

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateNovember 20, 2012

✔ NPI 1336121862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0100X

License✔ Licensed in AL · AL19483

Definition

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

511 BRANTLEY ST, Opp, AL 36467

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rudy Hartono Taarea 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 Reassignments

Medicare enrollment records show Rudy Taarea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Franklin Primary Health Center, Inc

42 mi

Federally Qualified Health Center (FQHC)

100 EDWINA ST
Evergreen, AL 36401

Reassigned Medicare billing, Alabama enrollment
123 clinicians in this Medicare group

NPI 1346733821 (251) 255-5830

Vincentian Physician Services LLC

156 mi

Family Medicine

810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205

Reassigned Medicare billing, Alabama enrollment
263 clinicians in this Medicare group

NPI 1851698310 (205) 930-2346

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 36467 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 12

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

JOSHUA HUNTER COON

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

IVY HART

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

TAYLOR VAUGHN

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

TARA STINSON

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

MRS. TONYA WYNETTE WRIGHT CRNP

Nurse Practitioner (Family)

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-3240

KARI ANN LOGIOTATOS

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

JANIYA ZAKIYA ROGERS

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

BRITTANY HOLLOWAY

Behavior Technician

511 BRANTLEY ST
OPP, AL 36467

Covington County (334) 493-5712

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 Rudy Taarea's NPI number?

The NPI number for Rudy Taarea is 1336121862. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Rudy Taarea located?

Rudy Taarea practices at 511 Brantley St, Opp, AL 36467. The listed phone number is (334) 493-3240.

What is Rudy Taarea's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Rudy Taarea enrolled in Medicare?

Yes. Rudy Taarea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rudy Taarea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudy Taarea reassigns Medicare benefits to 2 organizations: Franklin Primary Health Center, Inc (Evergreen, AL) and Vincentian Physician Services LLC (Birmingham, AL). Each 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 Rudy Taarea'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 Rudy Taarea was last updated on November 20, 2012. 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.