DR. ADAM R RUDOLPH MD
NPI 1821593369
Family Medicine in Petersburg, IN

Q: What is Adam Rudolph's NPI number?

The NPI number for Adam Rudolph is 1821593369. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Adam Rudolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Rudolph was last updated on September 13, 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.

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment

1004 E ILLINOIS ST, PETERSBURG, IN 47567(812) 354-1052(812) 354-8280 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 13, 2021, Nov 4, 2020, Mar 27, 2018 (3 updates tracked since 2018).

On this page

About Dr. Adam R Rudolph Md NPPES

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

DR. ADAM R RUDOLPH MD (NPI 1821593369) is an individual family medicine provider in Petersburg, Indiana, licensed in Indiana (01086361A) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1821593369

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ADAM R RUDOLPHCredential: MD

Location Address1004 E ILLINOIS STPetersburg, IN 47567-8068

Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822

Phone(812) 354-1052

Fax(812) 354-8280

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2018

Enumeration DateMarch 27, 2018

Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1821593369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01086361A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1004 E ILLINOIS ST, Petersburg, IN 47567

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Adam R Rudolph 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.

PECOS PAC ID2264843234

PECOS Enrollment IDI20210813002949

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.

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150042

Location520 S 7th StVincennes, IN 47591 · Knox County

Emergency services Birthing friendly

Daviess Community Hospital

Acute Care Hospitals · Washington, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150061

Location1314 E Walnut StWashington, IN 47501 · Daviess County

Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150115

Location800 W 9th StJasper, IN 47546 · Dubois County

Emergency services Birthing friendly

Gibson General Hospital

Critical Access Hospitals · Princeton, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151319

Location1808 Sherman DrPrinceton, IN 47670 · Gibson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47567 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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

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

DEACONESS SPECIALITY PHYSICIANS, INC

Orthopaedic Surgery

1004 E ILLINOIS ST
PETERSBURG, IN 47567

Pike County (812) 354-8280

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 Adam Rudolph's NPI number?

The NPI number for Adam Rudolph is 1821593369. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Adam Rudolph located?

Adam Rudolph practices at 1004 E Illinois St, Petersburg, IN 47567. The listed phone number is (812) 354-1052.

What is Adam Rudolph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adam Rudolph enrolled in Medicare?

Yes. Adam Rudolph 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.

What insurance does Adam Rudolph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Adam Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Rudolph affiliated with any hospitals?

According to CMS data, Adam Rudolph is affiliated with Good Samaritan Hospital, Daviess Community Hospital, Deaconess Hospital Inc, Memorial Hospital And Health Care Center and Gibson General Hospital.

When was this NPI record last updated?

The NPPES record for Adam Rudolph was last updated on September 13, 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.