DR. DAVID T RUDZIEWICZ DDS
NPI 1962662304
Dentist - General Practice in Chicago, IL
About Dr. David T Rudziewicz Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID T RUDZIEWICZ DDS (NPI 1962662304) is an individual general practice provider in Chicago, Illinois, licensed in Wisconsin (1002491) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Dr. David T Rudziewicz Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
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 David Rudziewicz's NPI number?
The NPI number for David Rudziewicz is 1962662304. It was assigned to this individual provider in the NPPES registry on June 10, 2008.
Where is David Rudziewicz located?
David Rudziewicz practices at 2020 W Harrison St, Chicago, IL 60612. The listed phone number is (773) 549-0417.
What is David Rudziewicz's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is David Rudziewicz enrolled in Medicare?
Yes. David Rudziewicz is registered in the Medicare PECOS enrollment system.
What insurance does David Rudziewicz accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 12 other insurers list David Rudziewicz 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.
When was this NPI record last updated?
The NPPES record for David Rudziewicz was last updated on September 13, 2022. 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.
# Dr. David T Rudziewicz, DDS · NPI 1962662304
General Practice provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 10, 2008.
## Identity
- **NPI:** 1962662304 (Entity type: Individual)
- **Enumerated:** June 10, 2008
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 1002491 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2020 W HARRISON ST, Chicago, IL 60612-3741
- **Phone:** (773) 549-0417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** September 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962662304) · Data from the CMS NPPES public registry.