DR. STEPHANIE MAUS RUDDY (D.O.) – Cardiovascular Disease Physician, NPI 1154676542

DR. STEPHANIE MAUS RUDDY (D.O.) is a healthcare provider. based in Dayton, Ohio. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials D.O.. They hold a License No. 34.012093 (OH). The NPI Number for DR. STEPHANIE MAUS RUDDY (D.O.) is 1154676542

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHANIE MAUS RUDDY (D.O.)
NPI
1154676542
Phone
(937) 454-9527
Address
4160 LITTLE YORK RD STE 20
Enumeration Date
20 July 2012
Last Update Date
12 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372933486
Graduation Year
2012 (14 years ago)
PAC ID
5597903328
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20181030001688
Address ID
OH454294926KE1380XRDXX400

Contacts

Secure Messaging
sruddy509945@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH

Provider Addresses for DR. STEPHANIE MAUS RUDDY (D.O.)

  • 4160 LITTLE YORK RD STE 20

    DAYTON, OH 454145803

    Phone: (937) 454-9527

    Fax: (937) 454-9532

    Mailing address matches the actual address.

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$18
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: 2018-10-30

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
I20181030001688ICardiovascular Disease (Cardiology)OHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes344232$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function290288$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only226178$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report168167$0
99213Established patient office or other outpatient visit, 20-29 minutes149130$0
View full utilization report →

Insurance plans in this area (ZIP 45414)

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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: 3173710936View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantOH
Radiation OncologyOH
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Orthopedic SurgeryOH
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseOH
Physician AssistantOH
Physician AssistantMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What is the standard ID for DR. STEPHANIE MAUS RUDDY (D.O.) in the U.S.?
In the U.S., DR. STEPHANIE MAUS RUDDY (D.O.) is identified by NPI 1154676542.
Is DR. STEPHANIE MAUS RUDDY (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. STEPHANIE MAUS RUDDY (D.O.) as active.
What type of care does DR. STEPHANIE MAUS RUDDY (D.O.) provide?
DR. STEPHANIE MAUS RUDDY (D.O.)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. STEPHANIE MAUS RUDDY (D.O.)?
The directory associates DR. STEPHANIE MAUS RUDDY (D.O.) with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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