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MR. RANDALL L RUDEEN MD
NPI 1396763793
Obstetrics & Gynecology in Nampa, ID

Active since July 17, 2006PECOS Enrolled
4424 E FLAMINGO AVE, SUITE 200, NAMPA, ID 83687(208) 288-4888(208) 288-4890 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randall L Rudeen Md NPPES

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

MR. RANDALL L RUDEEN MD (NPI 1396763793) is an individual obstetrics & gynecology provider in Nampa, Idaho, licensed in Idaho (M-5040) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396763793
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. RANDALL L RUDEENCredential: MD
Location Address4424 E FLAMINGO AVE, SUITE 200Nampa, ID 83687-9300
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 288-4888
Fax(208) 288-4890
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateDecember 10, 2014
✔ NPI 1396763793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ID · M-5040
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License M5040 (ID)
4424 E FLAMINGO AVE, Nampa, ID 83687
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Other Identifiers 3

Medicaid002648200ID
Medicare UPINC47924ID
Medicare ID-Type Unspecified1120819ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Randall L Rudeen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 14

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

DR. LINDA KAY WALKER MD
Obstetrics & Gynecology
4424 E FLAMINGO AVE, STE 200
NAMPA, ID 83687
Canyon County (208) 302-1400
DAVID H CLEMENTS PA-C
Physician Assistant
4424 E FLAMINGO AVE, SUITE 110
NAMPA, ID 83687
Canyon County (208) 288-4700
EMMA NELSON PT, DPT
Physical Therapist (Orthopedic)
4424 E FLAMINGO AVE
NAMPA, ID 83687
Canyon County (208) 205-0450
NICHOLAS W. HODGMAN MD
Internal Medicine (Interventional Cardiology)
4424 E FLAMINGO AVE, STE 300
NAMPA, ID 83687
Canyon County (208) 302-0200
SHANE A ANDREW DO
Orthopaedic Surgery
4424 E FLAMINGO AVE, SUITE 110
NAMPA, ID 83687
Canyon County (208) 288-4700
DR. RANDOLPH COTTON BYRD MD
Internal Medicine (Cardiovascular Disease)
4424 E FLAMINGO AVE, SUITE 300
NAMPA, ID 83687
Canyon County (208) 302-0200
KEITH G HOLLEY MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4424 E FLAMINGO AVE, SUITE 110
NAMPA, ID 83687
Canyon County (208) 288-4700
TILDON C ROBINSON IV MD
Orthopaedic Surgery
4424 E FLAMINGO AVE, SUITE 110
NAMPA, ID 83687
Canyon County (208) 288-4700

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 Randall Rudeen's NPI number?

The NPI number for Randall Rudeen is 1396763793. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Randall Rudeen located?

Randall Rudeen practices at 4424 E Flamingo Ave Suite 200, Nampa, ID 83687. The listed phone number is (208) 288-4888.

What is Randall Rudeen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Randall Rudeen enrolled in Medicare?

Yes. Randall Rudeen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randall Rudeen was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.