DR. PRIYA RUDOLPH MD, PHD
NPI 1871587113
Internal Medicine - Hematology & Oncology in Athens, GA
About Dr. Priya Rudolph Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYA RUDOLPH MD, PHD (NPI 1871587113) is an individual hematology & oncology provider in Athens, Georgia, licensed in Georgia (068852) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Greensboro.
NPPES Registry Identity
Specialties & Licenses
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Secondary Practice Location 1
Other Identifiers 3
Accepted 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. Priya Rudolph Md, Phd 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GANorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital
Acute Care Hospitals · Atlanta, GASt. Mary's Good Samaritan Hospital
Critical Access Hospitals · Greensboro, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
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 Priya Rudolph's NPI number?
The NPI number for Priya Rudolph is 1871587113. It was assigned to this individual provider in the NPPES registry on September 1, 2005.
Where is Priya Rudolph located?
Priya Rudolph practices at 125 King Ave Suite 200, Athens, GA 30606. The listed phone number is (706) 369-4478.
What is Priya Rudolph's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Priya Rudolph enrolled in Medicare?
Yes. Priya 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 Priya Rudolph accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Priya 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 Priya Rudolph affiliated with any hospitals?
According to CMS data, Priya Rudolph is affiliated with St Mary's Hospital, Piedmont Athens Regional Medical Center, Northside Hospital Gwinnett, Northside Hospital and St. Mary's Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Priya Rudolph was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
