DR. EARL H RUDOLPH (D.O.) – Internal Medicine Physician, NPI 1487851481

DR. EARL H RUDOLPH (D.O.) is a healthcare provider. based in Western springs, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 036.134994 (IL). The NPI Number for DR. EARL H RUDOLPH (D.O.) is 1487851481

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. EARL H RUDOLPH (D.O.)
NPI
1487851481
Phone
(630) 201-4239
Address
6004 FLAGG CREEK LN
Enumeration Date
2 July 2007
Last Update Date
24 May 2019

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6302864000
Graduation Year
2006 (20 years ago)
PAC ID
2466641618
Group Practice PAC ID
2961459565
Professional Enrollment ID
I20150113002515
Address ID
IL605214875HI5601XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. EARL H RUDOLPH (D.O.)

  • 6004 FLAGG CREEK LN

    WESTERN SPRINGS, IL 605585034

    Phone: (630) 201-4239

    Type: Mailing

  • Heartland Regional Medical Center, 3333, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629595884

    Phone: (618) 998-7017

    Fax: (618) 998-7449

    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: 2015-01-13

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
I20150113002515IInternal MedicineILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,93376$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14035$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6356$0
99238Hospital discharge day management, 30 minutes or less2725$0
99291Critical care, first 30-74 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 60558)

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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: 2961459565View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineIL
Pulmonary Disease, Critical Care (Intensivists), Hospice/Palliative Care, Internal MedicineIL
Critical Care (Intensivists), Pulmonary DiseaseIL
-IL
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)IL
Clinical PsychologistIL
-IL
Internal MedicineIL
Physical Medicine And RehabilitationIL
-IL

Reviews

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Frequently asked questions

How is DR. EARL H RUDOLPH (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. EARL H RUDOLPH (D.O.) with NPI 1487851481.
Is DR. EARL H RUDOLPH (D.O.) listed as active for patients and plans?
The listing shows DR. EARL H RUDOLPH (D.O.) as active in the NPI system.
What is DR. EARL H RUDOLPH (D.O.)'s specialty?
The listing groups DR. EARL H RUDOLPH (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. EARL H RUDOLPH (D.O.) on a map?
Expect Western Springs, Illinois as a primary anchor for DR. EARL H RUDOLPH (D.O.) unless the record lists multiple sites.
Why does DR. EARL H RUDOLPH (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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