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JANE ELIZABETH RUDOLPH MD
NPI 1639189707
Pediatrics in Waterbury, CT

Active since August 09, 2006PECOS Enrolled
179 ROSELAND AVE, WATERBURY, CT 06710(203) 574-4747(203) 574-2251 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jane Elizabeth Rudolph Md NPPES

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

JANE ELIZABETH RUDOLPH MD (NPI 1639189707) is an individual pediatrics provider in Waterbury, Connecticut, licensed in Connecticut (023752) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639189707
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJANE ELIZABETH RUDOLPHCredential: MD
Location Address179 ROSELAND AVEWaterbury, CT 06710
Mailing Address179 Roseland AveWaterbury, CT 06710 · (203) 574-4747 · Fax (203) 574-2251
Phone(203) 574-4747
Fax(203) 574-2251
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1639189707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 023752
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
179 ROSELAND AVE, Waterbury, CT 06710
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Other Identifiers 3

Medicaid001237528CT
Other0K0607CT · Hn
Other00123752800CT · Bcfp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Elizabeth Rudolph 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 06710 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 6

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

ANDREA DOUYARD PA C
Physician Assistant
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
CHILD & ADOLESCENT HEALTH CARE
Pediatrics
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
CHRISTINE MAFFEO-ANTON MD
Pediatrics
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
AISHA ANGELA DAVIS MD
Pediatrics
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (475) 323-6601
MRS. ADRIANE GUERIN PA C
Physician Assistant
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747
TAMAR H EDELKIND PNP PEDIACTRIC NURSE
Nurse Practitioner (Pediatrics)
179 ROSELAND AVE
WATERBURY, CT 06710
Naugatuck Valley Planning Region (203) 574-4747

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 Jane Rudolph's NPI number?

The NPI number for Jane Rudolph is 1639189707. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Jane Rudolph located?

Jane Rudolph practices at 179 Roseland Ave, Waterbury, CT 06710. The listed phone number is (203) 574-4747.

What is Jane Rudolph's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jane Rudolph enrolled in Medicare?

Yes. Jane Rudolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jane Rudolph was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.