ELEBY RUDOLPH IV WASHINGTON (M.D.) – Diagnostic Radiology Physician, NPI 1316381973

ELEBY RUDOLPH IV WASHINGTON (M.D.) is a healthcare provider. based in Los angeles, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A155473 (CA). The NPI Number for ELEBY RUDOLPH IV WASHINGTON (M.D.) is 1316381973

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ELEBY RUDOLPH IV WASHINGTON (M.D.)
NPI
1316381973
Phone
(323) 442-8541
Address
PO BOX 31309
Enumeration Date
24 April 2013
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
3234422582
Graduation Year
2013 (13 years ago)
PAC ID
4789987348
Group Practice PAC ID
0446157747
Professional Enrollment ID
I20190829000617
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for ELEBY RUDOLPH IV WASHINGTON (M.D.)

  • PO BOX 31309

    LOS ANGELES, CA 900310309

    Phone: (323) 442-8541

    Type: Mailing

  • 1500 SAN PABLO ST FL 2

    LOS ANGELES, CA 900335313

    Phone: (323) 442-8541

    Type: Location

  • 375 DIXMYTH AVE

    CINCINNATI, OH 452202475

    Phone: (310) 562-1171

    Type: Mailing

  • 1500 San Pablo St Fl 2

    Los Angeles, CA 900335313

    Phone: (323) 442-8541

    Type: Location

  • 1161 21st Ave S

    D4313 MCN

    Nashville, TN 372322730

    Phone: (615) 343-6642

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190829000617IDiagnostic RadiologyCATBD
I20200423001459IDiagnostic RadiologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view295272$0
73721Mri scan of leg joint without contrast252246$0
72148Mri scan of lower spinal canal without contrast241241$0
73221Mri scan of arm joint without contrast170170$0
73560X-ray of knee, 1-2 views9380$0
View full utilization report →

Insurance plans in this area (ZIP 90031)

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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: 0446157747View full group profile
NameSpecialtyState
-CA
U R O L O G YCA
Diagnostic RadiologyNY
Diagnostic RadiologyCA
-CA
-CA
H E M A T O L O G Y/ O N C O L O G YCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

What number should I use to identify ELEBY RUDOLPH IV WASHINGTON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1316381973 for ELEBY RUDOLPH IV WASHINGTON (M.D.).
Is ELEBY RUDOLPH IV WASHINGTON (M.D.)'s NPI status active today?
Active status means ELEBY RUDOLPH IV WASHINGTON (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret ELEBY RUDOLPH IV WASHINGTON (M.D.)'s specialty?
The extract shows Diagnostic Radiology Physician for ELEBY RUDOLPH IV WASHINGTON (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELEBY RUDOLPH IV WASHINGTON (M.D.)?
ELEBY RUDOLPH IV WASHINGTON (M.D.) is associated with Los Angeles, California in the same public data insurers reference.
Who maintains ELEBY RUDOLPH IV WASHINGTON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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