JONATHAN BRETT RUDICK (MD) – Nephrology Physician, NPI 1124083704

JONATHAN BRETT RUDICK (MD) is a healthcare provider. based in Annapolis, Maryland. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. D0053785 (MD). The NPI Number for JONATHAN BRETT RUDICK (MD) is 1124083704

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN BRETT RUDICK (MD)
NPI
1124083704
Phone
(301) 345-0605
Address
1127 West St Ste 105
Enumeration Date
18 April 2006
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4105629878
Graduation Year
2001 (25 years ago)
PAC ID
5496741431
Group Practice PAC ID
1254304413
Professional Enrollment ID
I20111010000474
Address ID
MD214013615AN1127XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

345 NEPHROLOGY in MD

Provider Addresses for JONATHAN BRETT RUDICK (MD)

  • 1127 West St Ste 105

    Annapolis, MD 214014284

    Phone: (301) 345-0605

    Type: Location

  • 7331, Hanover Parkway, Greenbelt, Prince George's County, Maryland, 20770, United States

    STE B

    GREENBELT, MD 20770

    Phone: (301) 345-0605

    Fax: (301) 345-0606

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $3,030.

Total Amount is formed as General ($3,030) + Research ($0) + Ownership ($0) = $3,030.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($629).

Total Amount

$3,030

General + Research + Ownership

Payments

140

Total payment records

General Amount

$3,030

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2011-10-10

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
I20090220000474INephrologyDCTBD
I20111010000474INephrologyMDTBD

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 minutes462137$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)24883$0
99214Established patient office or other outpatient visit, 30-39 minutes218128$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)7853$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7768$0
View full utilization report →

Insurance plans in this area (ZIP 21401)

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Provider's Procedures

JONATHAN BRETT RUDICK (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMD90935Hemodialysis procedure with one physician evaluation6846
NEPHROLOGYMD90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older11854

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: 1254304413View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMD
Nephrology, Internal MedicineMD
N E P H R O L O G YMD
N E P H R O L O G YMD
Nephrology, Internal MedicineNY
-MD

Reviews

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Frequently asked questions

How is JONATHAN BRETT RUDICK (MD) identified in CMS data?
CMS-hosted NPPES data lists JONATHAN BRETT RUDICK (MD) with NPI 1124083704.
Does CMS list JONATHAN BRETT RUDICK (MD) as active?
Yes — JONATHAN BRETT RUDICK (MD) is active in the NPI listing used on this page.
What is JONATHAN BRETT RUDICK (MD) best known for clinically?
Directory data describes JONATHAN BRETT RUDICK (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN BRETT RUDICK (MD) on a map?
Expect Annapolis, Maryland as a primary anchor for JONATHAN BRETT RUDICK (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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