DR. RICHARD B RUDOLPH (MD) – Gynecology Physician, NPI 1366430654

DR. RICHARD B RUDOLPH (MD) is a healthcare provider. based in Tampa, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME0073548 (FL). The NPI Number for DR. RICHARD B RUDOLPH (MD) is 1366430654

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD B RUDOLPH (MD)
NPI
1366430654
Phone
(813) 286-0033
Address
PO BOX 25317
Enumeration Date
11 October 2005
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7274612757
Graduation Year
1989 (37 years ago)
PAC ID
7517947617
Group Practice PAC ID
9234031444
Professional Enrollment ID
I20040721000051
Address ID
FL337563839CL508XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. RICHARD B RUDOLPH (MD)

  • PO BOX 25317

    TAMPA, FL 336225317

    Phone: (813) 286-0033

    Fax: (813) 282-1806

    Type: Mailing

  • 508, Jeffords Street, Clearwater, Pinellas County, Florida, 33756, United States

    SUITE C

    CLEARWATER, FL 337563839

    Phone: (727) 461-2757

    Fax: (727) 447-0314

    Type: Location

  • PO BOX 748817

    ATLANTA, GA 303748817

    Phone: (813) 286-0033

    Fax: (813) 282-1806

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $348.

Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($73).

Total Amount

$348

General + Research + Ownership

Payments

14

Total payment records

General Amount

$348

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2004-07-21

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
I20040721000051IObstetrics/GynecologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3629$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2727$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 33622)

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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: 9234031444View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerGA
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

What is the registry number for DR. RICHARD B RUDOLPH (MD)?
The registry entry for DR. RICHARD B RUDOLPH (MD) shows NPI 1366430654.
Does the public listing show DR. RICHARD B RUDOLPH (MD) as active?
DR. RICHARD B RUDOLPH (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. RICHARD B RUDOLPH (MD) does?
Insurance directories may phrase it differently, but here DR. RICHARD B RUDOLPH (MD) maps to Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. RICHARD B RUDOLPH (MD) tied to Tampa, Florida?
If you are local to Tampa, Florida, DR. RICHARD B RUDOLPH (MD) may be relevant to your search.
Why is information missing for DR. RICHARD B RUDOLPH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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