GEORGE HENRY RUDKIN MD
NPI 1508870403
Surgery - Plastic and Reconstructive Surgery in Los Angeles, CA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
68.6/100
CMS Quality Rating
200 MEDICAL PLZ, STE 465, LOS ANGELES, CA 90095(310) 825-5510 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About George Henry Rudkin Md NPPES

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

GEORGE HENRY RUDKIN MD (NPI 1508870403) is an individual plastic and reconstructive surgery provider in Los Angeles, California, licensed in California (G73237) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1990).

NPPES Registry Identity

NPI1508870403
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameGEORGE HENRY RUDKINCredential: MD
Location Address200 MEDICAL PLZ, STE 465Los Angeles, CA 90095-0001
Mailing Address5767 W Century Blvd, Suite 200Los Angeles, CA 90045-5632 · (310) 825-5510
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1990
Enumeration DateJuly 28, 2006
Last NPPES UpdateJanuary 24, 2012
NPI 1508870403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in CA · G73237
Definition
A surgeon who specializes in plastic and reconstructive surgery.
200 MEDICAL PLZ, Los Angeles, CA 90095

Other Identifiers 4

Medicare UPINF46194CA
Medicaid00G732370CA
Medicare PINFQ588ZCA
Medicare PINWG73237DCA

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

George Henry Rudkin 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 ID7416841788
PECOS Enrollment IDI20040209001217
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability100
Improvement Activities40
Cost16.46

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.

Obstetrics & Gynecology (Reproductive Endocrinology)
200 MEDICAL PLZ, 202
LOS ANGELES, CA 90095
Urology
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLZ, #550
LOS ANGELES, CA 90095
Radiology (Radiation Oncology)
200 MEDICAL PLZ, SUITE B265
LOS ANGELES, CA 90095
Internal Medicine (Cardiovascular Disease)
200 MEDICAL PLZ, #365,530,420,120
LOS ANGELES, CA 90095
Surgery
200 MEDICAL PLZ, STE 465
LOS ANGELES, CA 90095
Orthopaedic Surgery (Sports Medicine)
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLZ, SUITE 365
LOS ANGELES, CA 90095

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 George Rudkin's NPI number?

The NPI number for George Rudkin is 1508870403. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is George Rudkin located?

George Rudkin practices at 200 Medical Plz Ste 465, Los Angeles, CA 90095. The listed phone number is (310) 825-5510.

What is George Rudkin's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is George Rudkin enrolled in Medicare?

Yes. George Rudkin 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.

When was this NPI record last updated?

The NPPES record for George Rudkin was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.