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JACOB D RUDIE DO
NPI 1861326134
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 10, 2026PECOS Enrolled
601 ELMWOOD AVENUE BOX 626, ROCHESTER, NY 14642(585) 276-1350 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob D Rudie Do NPPES

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

JACOB D RUDIE DO (NPI 1861326134) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861326134
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB D RUDIECredential: DO
Location Address601 ELMWOOD AVENUE BOX 626Rochester, NY 14642-0001
Mailing Address601 Elmwood AveRochester, NY 14642-0001
Phone(585) 276-1350
Sole ProprietorNo
Enumeration DateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1861326134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

601 ELMWOOD AVENUE BOX 626, Rochester, NY 14642
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob D Rudie Do 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.

Other Providers at the Same Location NPPES

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

DR. JORGE LO YAO M.D.
Pathology (Cytopathology)
601 ELMWOOD AVENUE BOX 626, DEPT OF PATHOLOGY URMC-SMH
ROCHESTER, NY 14642
Monroe County (585) 273-1178

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 Jacob Rudie's NPI number?

The NPI number for Jacob Rudie is 1861326134. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Jacob Rudie located?

Jacob Rudie practices at 601 Elmwood Avenue Box 626, Rochester, NY 14642. The listed phone number is (585) 276-1350.

What is Jacob Rudie's specialty?

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

Is Jacob Rudie enrolled in Medicare?

Yes. Jacob Rudie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Rudie was last updated on June 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.