MISS RENUKA TANIA RUDRA (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1033640313

MISS RENUKA TANIA RUDRA (M.D.) is a healthcare provider. based in Los angeles, California. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. A175678 (CA). The NPI Number for MISS RENUKA TANIA RUDRA (M.D.) is 1033640313

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MISS RENUKA TANIA RUDRA (M.D.)
NPI
1033640313
Phone
(925) 691-9806
Address
PO BOX 888584
Enumeration Date
27 March 2017
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9254828111
Graduation Year
2017 (9 years ago)
PAC ID
3870912983
Group Practice PAC ID
0547252918
Professional Enrollment ID
I20221013002729
Address ID
CA945982408WA454XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

878 PHYSICAL MEDICINE AND REHABILITATION in PA

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Provider Addresses for MISS RENUKA TANIA RUDRA (M.D.)

  • PO BOX 888584

    LOS ANGELES, CA 900888584

    Phone: (925) 691-9806

    Fax: (925) 691-9807

    Type: Mailing

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States

    PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER

    HERSHEY, PA 17033

    Phone: (800) 243-1455

    Type: Mailing

  • 1701 SOLAR DR STE 140

    OXNARD, CA 930300136

    Phone: (805) 366-4667

    Fax: (805) 336-4647

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $476.

Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Abbott Laboratories ($312).

Total Amount

$476

General + Research + Ownership

Payments

12

Total payment records

General Amount

$476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221013002729IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547252918View full group profile
NameSpecialtyState
-CA
Physical Medicine And Rehabilitation, Pain ManagementCA
-CA
-CA
Pain ManagementCA
-CA
Clinical PsychologistCA
-OR
Interventional Pain Management, AnesthesiologyCA
Physical Medicine And RehabilitationCA

Reviews

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Frequently asked questions

How do payers reference MISS RENUKA TANIA RUDRA (M.D.)?
For MISS RENUKA TANIA RUDRA (M.D.), use NPI 1033640313 as the unique 10-digit identifier.
Is there an active status for MISS RENUKA TANIA RUDRA (M.D.)?
For scheduling context, MISS RENUKA TANIA RUDRA (M.D.) is shown as active in the registry.
What kind of doctor is MISS RENUKA TANIA RUDRA (M.D.)?
MISS RENUKA TANIA RUDRA (M.D.) is associated with Physical Medicine & Rehabilitation Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MISS RENUKA TANIA RUDRA (M.D.) associated with Los Angeles?
Public fields place MISS RENUKA TANIA RUDRA (M.D.) around Los Angeles, California. Always confirm the exact site before visiting.
Can I trust this NPI listing for MISS RENUKA TANIA RUDRA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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