DAVID RUDOLPH MD
NPI 1619504776
Emergency Medicine in Baltimore, MD

Active since March 26, 2020PECOS Enrolled
1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287(410) 955-3380 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2023, Mar 26, 2020 (2 updates tracked since 2020).

About David Rudolph Md NPPES

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

DAVID RUDOLPH MD (NPI 1619504776) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Maryland (D96162) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619504776
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID RUDOLPHCredential: MD
Location Address1830 E MONUMENT ST STE 6-100Baltimore, MD 21287-0020
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1619504776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MD · D96162
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1830 E MONUMENT ST STE 6-100, Baltimore, MD 21287

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Rudolph Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577985902
PECOS Enrollment IDI20230626001223
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
67 services67 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619504776, enumerated as an "individual" on March 26, 2020.

The provider is located at 1830 E MONUMENT ST STE 6-100 BALTIMORE, MD 21287 and the phone number is (410) 955-3380.

Emergency Medicine with taxonomy code 207P00000X.

David Rudolph is affiliated with: JOHNS HOPKINS HOSPITAL, THE and JOHNS HOPKINS BAYVIEW MEDICAL CENTER.