DR. ROBERT JOHN II RUDOCK (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1215291653

DR. ROBERT JOHN II RUDOCK (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in PSYCHIATRY, NEUROLOGY. They hold the professional credentials MD. They hold a License No. D0101795 (MD). The NPI Number for DR. ROBERT JOHN II RUDOCK (MD) is 1215291653

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JOHN II RUDOCK (MD)
NPI
1215291653
Phone
(314) 362-1408
Address
660 S EUCLID AVE
Enumeration Date
29 June 2012
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4439239200
Graduation Year
2012 (14 years ago)
PAC ID
8224371349
Group Practice PAC ID
1759280597
Professional Enrollment ID
I20241107003741
Address ID
MD212051832BA707XXBROA300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

821 PSYCHIATRY in MO

Provider Addresses for DR. ROBERT JOHN II RUDOCK (MD)

  • 660 S EUCLID AVE

    CB 8111

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-1408

    Fax: (314) 454-2523

    Type: Mailing

  • 1 CHILDRENS PL

    DIV NEUROLOGY PEDIATRICS

    SAINT LOUIS, MO 631101002

    Phone: (314) 362-1408

    Fax: (314) 454-2523

    Type: Location

  • 707 N BROADWAY

    BALTIMORE, MD 212051832

    Phone: (443) 923-9200

    Type: Mailing

  • PO BOX 60352

    SAINT LOUIS, MO 631600352

    Phone: (314) 362-1408

    Fax: (314) 454-2523

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
HARMONY BIOSCIENCES LLC$29
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: 2024-11-07

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
I20190513002024INeurologyMOTBD
I20241107003741IPsychiatryMDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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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: 1759280597View full group profile
NameSpecialtyState
Neurology, Pediatric MedicineMD
N E U R O L O G YMD
Nurse PractitionerMD
Pediatric Medicine, NeurologyMD
-MD
-MD
Physical Medicine And RehabilitationMD
Medical OncologyMN
P S Y C H I A T R YMD
P S Y C H I A T R YMD

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ROBERT JOHN II RUDOCK (MD)?
DR. ROBERT JOHN II RUDOCK (MD) — NPI 1215291653 — is the standard way to identify this listing.
Is DR. ROBERT JOHN II RUDOCK (MD) listed as active for patients and plans?
The listing shows DR. ROBERT JOHN II RUDOCK (MD) as active in the NPI system.
What healthcare role does DR. ROBERT JOHN II RUDOCK (MD) hold?
Scheduling teams often label DR. ROBERT JOHN II RUDOCK (MD) under Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
Does DR. ROBERT JOHN II RUDOCK (MD) list a practice location?
Patients near Saint Louis, Missouri may find DR. ROBERT JOHN II RUDOCK (MD) in results; validate coverage separately.
Why does DR. ROBERT JOHN II RUDOCK (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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