DR. DAVID MICHAEL RUDD (MD) – Emergency Medicine Physician, NPI 1114458981

DR. DAVID MICHAEL RUDD (MD) is a healthcare provider. based in Jackson, Mississippi. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 322837 (LA). The NPI Number for DR. DAVID MICHAEL RUDD (MD) is 1114458981

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MICHAEL RUDD (MD)
NPI
1114458981
Phone
(601) 815-1292
Address
2500 N STATE ST
Enumeration Date
23 March 2017
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
3374362511
Graduation Year
2017 (9 years ago)
PAC ID
0547518201
Group Practice PAC ID
4183651425
Professional Enrollment ID
I20210108001319
Address ID
LA706054118LA4200XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

587 EMERGENCY MEDICINE in MS

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Provider Addresses for DR. DAVID MICHAEL RUDD (MD)

  • University of Mississippi Medical Center, 2500, North State Street, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    JACKSON, MS 392164500

    Phone: (601) 815-1292

    Fax: (601) 984-5110

    Type: Location

  • 5246, Brittany Drive, Health & Medical Area, Silverside, Baton Rouge, East Baton Rouge Parish, Louisiana, 70808, United States

    BATON ROUGE, LA 708089136

    Phone: (225) 757-4142

    Fax: (225) 757-4230

    Type: Mailing

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: 2021-01-08

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
I20210108001319IEmergency MedicineLATBD

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
99285Emergency department visit with high level of medical decision making443410$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only277260$0
99284Emergency department visit with moderate level of medical decision making106104$0
99291Critical care, first 30-74 minutes8885$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 4183651425View full group profile
NameSpecialtyState
Nurse PractitionerLA
Emergency MedicineLA
Family Practice, Emergency MedicineLA
Physician AssistantLA
Nurse PractitionerMS
Family Practice, Emergency MedicineLA
Nurse PractitionerLA
Family PracticeFL
Nurse PractitionerLA
Emergency MedicineLA

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Frequently asked questions

How do I look up DR. DAVID MICHAEL RUDD (MD) by NPI?
Use NPI 1114458981 when you need to reference DR. DAVID MICHAEL RUDD (MD) in forms, claims, or directories.
Is DR. DAVID MICHAEL RUDD (MD)'s NPI currently valid?
The extract we use shows DR. DAVID MICHAEL RUDD (MD) as active.
What field does DR. DAVID MICHAEL RUDD (MD) work in?
You can think of DR. DAVID MICHAEL RUDD (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID MICHAEL RUDD (MD)?
The page summarizes Jackson, Mississippi for DR. DAVID MICHAEL RUDD (MD); expand the address list for detail.
Is DR. DAVID MICHAEL RUDD (MD) a real provider?
This page reflects official NPPES data for NPI 1114458981. Always confirm identity and privileges with the practice and licensing boards.

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