DANIEL JAY RUDOLPH (MD) – Pulmonary Disease Physician, NPI 1356335707
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,447 INTERNAL MEDICINE in CT
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Provider Addresses for DANIEL JAY RUDOLPH (MD)
15 Corporate Drive, Monroe Turnpike, Village Square Shopping Center, Trumbull, Fairfield County, Connecticut, 06468, United States
TRUMBULL, CT 066111351
Phone: (203) 261-3980
Fax: (203) 261-2747
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-07-05 • Largest payer in this snapshot: Baxter Healthcare ($202).
Total Amount
$202
General + Research + Ownership
Payments
5
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $202 |
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: 2010-10-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101012000309 | I | Internal Medicine | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 468 | 291 | $0 |
| 94375 | Test to measure rate of airflow | 125 | 122 | $0 |
| 94618 | Test for exercise-induced lung stress | 108 | 103 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 101 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 83 | $0 |
Insurance plans in this area (ZIP 06611)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | CT | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 269 | 220 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | NJ | |
| Hospitalist, Internal Medicine | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT |
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