DYLAN C RUDOLPH MD
NPI 1386104073
Internal Medicine in Gainesville, FL

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
1601 SW ARCHER RD, GAINESVILLE, FL 32610(352) 376-1611 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2022, Oct 12, 2021, Mar 20, 2019 (3 updates tracked since 2019).

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

NPI1386104073
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDYLAN C RUDOLPHCredential: MD
Location Address1601 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address1601 Sw Archer RdGainesville, FL 32610-2362 · (352) 376-1611
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateSeptember 7, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
NPI 1386104073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · 154166
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1601 SW ARCHER RD, Gainesville, FL 32610

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

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.

PECOS PAC ID3870824410
PECOS Enrollment IDI20240617002434
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
187 services112 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
136 services132 patients

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, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330019
Location2525 Kings HighwayBrooklyn, NY 11229 · Kings County
Emergency services

Maimonides Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330194
Location4802 Tenth AvenueBrooklyn, NY 11219 · Kings County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Internal Medicine (Infectious Disease)
1601 SW ARCHER RD, ROOM A252-1
GAINESVILLE, FL 32610
Nurse Practitioner
1601 SW ARCHER RD
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.

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 with the weekly NPPES data releases published by CMS.