DYLAN C RUDOLPH MD
NPI 1386104073
Internal Medicine in Gainesville, FL
About Dylan C Rudolph Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN C RUDOLPH MD (NPI 1386104073) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (154166) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with New York Community Hospital Of Brooklyn, Inc., and is a graduate of University Of Florida College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dylan C 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dylan Rudolph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 85 clinicians in this Medicare group
Brooklyn, NY 11219
- Reassigned Medicare billing, New York enrollment
- 1,177 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New York Community Hospital Of Brooklyn, Inc.
Acute Care Hospitals · Brooklyn, NYMaimonides Medical Center
Acute Care Hospitals · Brooklyn, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, FL 32610
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 Dylan Rudolph's NPI number?
The NPI number for Dylan Rudolph is 1386104073. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Dylan Rudolph located?
Dylan Rudolph practices at 1601 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 376-1611.
What is Dylan Rudolph's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dylan Rudolph enrolled in Medicare?
Yes. Dylan 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.
Which organizations bill Medicare for Dylan Rudolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Rudolph reassigns Medicare benefits to 2 organizations: Maimonides Medical Center Maimonides Primary Care Fpp (Brooklyn, NY) and Maimonides Faculty Practice Plan (Brooklyn, NY). 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 Dylan Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Dylan Rudolph affiliated with any hospitals?
According to CMS data, Dylan Rudolph is affiliated with New York Community Hospital Of Brooklyn, Inc. and Maimonides Medical Center.
When was this NPI record last updated?
The NPPES record for Dylan Rudolph was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dylan C Rudolph, MD · NPI 1386104073
Internal Medicine physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1386104073 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 154166 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 SW ARCHER RD, Gainesville, FL 32610-3003
- **Phone:** (352) 376-1611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maimonides Medical Center Maimonides Primary Care Fpp (NPI 1013968593, Brooklyn, NY); Maimonides Faculty Practice Plan (NPI 1053344846, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386104073) · Data from the CMS NPPES public registry.