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RUDY MARTIN TEDJA DO
NPI 1639344963
Internal Medicine - Critical Care Medicine in Reno, NV

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment
1155 MILL ST, RENO, NV 89502(775) 982-7878(775) 982-4196 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rudy Martin Tedja Do NPPES

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

RUDY MARTIN TEDJA DO (NPI 1639344963) is an individual critical care medicine provider in Reno, Nevada, licensed in Nevada (DO2441) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639344963
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRUDY MARTIN TEDJACredential: DO
Location Address1155 MILL STReno, NV 89502
Mailing Address850 Harvard WayReno, NV 89502-2055 · (775) 982-5262 · Fax (775) 982-5496
Phone(775) 982-7878
Fax(775) 982-4196
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2008
Enumeration DateApril 28, 2008
Last NPPES UpdateSeptember 21, 2018
✔ NPI 1639344963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in NV · DO2441✔ Licensed in MN · 57113✔ Licensed in CA · 20A13497
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 34.009823 (OH), DO2441 (NV)
1155 MILL ST, Reno, NV 89502
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 Coffee RdModesto, CA 95355-4201 · Phone (209) 521-6097 ext. 5289
Location 210101 Double R BlvdReno, NV 89521-3149 · Phone (775) 982-7878 · Fax (775) 982-4196

Other Identifiers 1

Other14271792Caqh

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

Rudy Martin Tedja Do 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 ID2961683768
PECOS Enrollment IDI20150817001305, I20181026000123, I20250326002621, I20250529002167, I20250605003459
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 7

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

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.
234 services122 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
132 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services41 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
18 services17 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
16 services16 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290019
Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County
Emergency services Birthing friendly

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290032
Location2375 E Prater WaySparks, NV 89434 · Washoe County
Emergency services

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290049
Location10101 Double R BlvdReno, NV 89521 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89502 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

JENNA RASSUCHINE
Emergency Medicine
1155 MILL ST
RENO, NV 89502
Washoe County (775) 324-4040
NICHOLAS ROSE MD
Radiology (Vascular & Interventional Radiology)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 327-5174
DR. BROOKE TAYLOR TOLLER PHARMD
Pharmacist (Ambulatory Care)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-4406
CORINNE E JOHNSON GARNER RN, APRN
Registered Nurse (Neonatal Intensive Care)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7890
DR. THOMAS S. DAVEE M.D.
Internal Medicine (Cardiovascular Disease)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7878
DR. CHRISTIE ELLIOTT MD
Pathology (Anatomic Pathology & Clinical Pathology)
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-4545
LEAH KATHLEEN MACHEN M.D.
Hospitalist
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7878
HAMAD RASHID ASHRAF MD
Hospitalist
1155 MILL ST
RENO, NV 89502
Washoe County (775) 982-7878

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 Rudy Tedja's NPI number?

The NPI number for Rudy Tedja is 1639344963. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Rudy Tedja located?

Rudy Tedja practices at 1155 Mill St, Reno, NV 89502. The listed phone number is (775) 982-7878.

What is Rudy Tedja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rudy Tedja enrolled in Medicare?

Yes. Rudy Tedja 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.

Is Rudy Tedja affiliated with any hospitals?

According to CMS data, Rudy Tedja is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center, Northern Nevada Medical Center and Renown South Meadows Medical Center.

When was this NPI record last updated?

The NPPES record for Rudy Tedja was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.