SUMMER RUDISH DO
NPI 1831893692
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
110 S PACA ST, FLOOR 6, SUITE 200, BALTIMORE, MD 21201(667) 214-2208 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summer Rudish Do NPPES

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

SUMMER RUDISH DO (NPI 1831893692) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831893692
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUMMER RUDISHCredential: DO
Location Address110 S PACA ST, FLOOR 6, SUITE 200Baltimore, MD 21201-1642
Mailing Address110 S Paca St, Floor 6, Suite 200Baltimore, MD 21201-1642 · (667) 214-2208
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1831893692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 S PACA ST, Baltimore, MD 21201

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

Summer Rudish 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 ID5991151821
PECOS Enrollment IDI20260716001204
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.

Medicare Billing Reassignment

Medicare enrollment records show Summer Rudish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

Anesthesiology
110 S PACA ST, SUITE 300 6TH FL
BALTIMORE, MD 21201
Emergency Medicine
110 S PACA ST, SIXTH FLOOR, SUITE 200
BALTIMORE, MD 21201
Otolaryngology (Plastic Surgery within the Head & Neck)
110 S PACA ST
BALTIMORE, MD 21201
Internal Medicine
110 S PACA ST
BALTIMORE, MD 21201
Anesthesiology
110 S PACA ST, SUITE 300 6TH FL
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
110 S PACA ST, 6TH FLOOR, SUITE 200
BALTIMORE, MD 21201
Anesthesiology
110 S PACA ST, SUITE 300 6TH FL
BALTIMORE, MD 21201
Anesthesiology
110 S PACA ST, SUITE 300, 6TH FLOOR
BALTIMORE, MD 21201

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 Summer Rudish's NPI number?

The NPI number for Summer Rudish is 1831893692. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Summer Rudish located?

Summer Rudish practices at 110 S Paca St Floor 6, Suite 200, Baltimore, MD 21201. The listed phone number is (667) 214-2208.

What is Summer Rudish's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Summer Rudish enrolled in Medicare?

Yes. Summer Rudish 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 Summer Rudish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Rudish reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Summer Rudish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Summer Rudish affiliated with any hospitals?

According to CMS data, Summer Rudish is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Summer Rudish was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.