RICHARD PRUDENCIO M.D.
NPI 1598837452
Rehabilitation Hospital in Cambridge, MA
About Richard Prudencio M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD PRUDENCIO M.D. (NPI 1598837452) is an individual rehabilitation hospital provider in Cambridge, Massachusetts, licensed in Massachusetts (223241) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2002).
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
Richard Prudencio M.d. 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 Richard Prudencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 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.
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.
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
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 Richard Prudencio's NPI number?
The NPI number for Richard Prudencio is 1598837452. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is Richard Prudencio located?
Richard Prudencio practices at 1575 Cambridge St, Cambridge, MA 02138. The listed phone number is (617) 876-4344.
What is Richard Prudencio's specialty?
The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.
Is Richard Prudencio enrolled in Medicare?
Yes. Richard Prudencio 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 Richard Prudencio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Prudencio reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Richard Prudencio'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 Richard Prudencio was last updated on November 30, 2021. 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.
# Richard Prudencio, M.D. · NPI 1598837452
Rehabilitation Hospital provider in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1598837452 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Rehabilitation Hospital · taxonomy 283X00000X
- **State license:** 223241 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1575 CAMBRIDGE ST, Cambridge, MA 02138-4308
- **Phone:** (617) 876-4344 · **Fax:** (617) 234-7950
## 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:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2002
## Record status
- **NPPES last updated:** November 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1598837452) · Data from the CMS NPPES public registry.