CARL THOMAS RUDEBUSCH MD
NPI 1568969236
Family Medicine in Richmond, VA
About Carl Thomas Rudebusch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL THOMAS RUDEBUSCH MD (NPI 1568969236) is an individual family medicine provider in Richmond, Virginia, licensed in Virginia (0101272980) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2018).
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
Carl Thomas Rudebusch 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 Reassignment
Medicare enrollment records show Carl Rudebusch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami Gardens, FL 33169
- Reassigned Medicare billing, Virginia enrollment
- 100 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23223 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carl Rudebusch's NPI number?
The NPI number for Carl Rudebusch is 1568969236. It was assigned to this individual provider in the NPPES registry on April 10, 2018.
Where is Carl Rudebusch located?
Carl Rudebusch practices at 1712 E Broad St, Richmond, VA 23223. The listed phone number is (804) 344-9848.
What is Carl Rudebusch's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carl Rudebusch enrolled in Medicare?
Yes. Carl Rudebusch 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 organization bills Medicare for Carl Rudebusch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Rudebusch reassigns Medicare benefits to Pmr Virginia Holding, LLC (Miami Gardens, FL). The 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 Carl Rudebusch'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 Carl Rudebusch was last updated on June 9, 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.
# Carl Thomas Rudebusch, MD · NPI 1568969236
Family Medicine physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1568969236 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101272980 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1712 E BROAD ST, Richmond, VA 23223-6930
- **Phone:** (804) 344-9848 · **Fax:** (804) 554-5395
## 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:** Pmr Virginia Holding, LLC (NPI 1083167001, Miami Gardens, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568969236) · Data from the CMS NPPES public registry.