DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) – Internal Medicine Physician, NPI 1790728988

Internal Medicine Physician

DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) is a healthcare provider. based in South euclid, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials M.D.; PH.D.. They hold a License No. 35057968 (OH). The NPI Number for DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) is 1790728988

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.)

NPI

1790728988

Phone

(216) 381-1367

Address

1611 S GREEN RD

Enumeration Date

14 June 2006

Last Update Date

14 January 2021

Doctor Profile

Medical School Name

CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY

Secondary Phone

2162972073

Graduation Year

1988 (38 years ago)

PAC ID

4183616220

Group Practice PAC ID

3072417534

Professional Enrollment ID

I20061214000109

Contacts

Secure Messaging

stephenrudolph@uhps.allscriptsdirect.net

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.)

University Suburban Health Center, 1611, South Green Road, South Euclid, Cuyahoga County, Ohio, 44121, United States
SUITE 260
SOUTH EUCLID, OH 441214128
Phone: (216) 381-1367
Fax: (216) 291-9740
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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-12-04 • Largest payer in this snapshot: ABBVIE INC. ($20).

Total Amount

$20

General + Research + Ownership

Payments

Total payment records

General Amount

$20

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABBVIE INC.	$20

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 44121)

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Provider's Procedures

DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
INTERNAL MEDICINE	OH	81002	Urinalysis, manual test	13	12

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: 3072417534View full group profile

Name	Specialty	State
KAITLIN WORKMAN (PA-C)	Physician Assistant	OH
DR. ROBERT B CAMERON (M.D.)	-	OH
PHILIP H KEYSER (MD FACC)	-	OH
STEVEN H SUESS	-	IL
DR. SANEKA CHAKRAVARTY (MBBS)	Cardiovascular Disease (Cardiology)	OH
LAURA PESETSKY (CNP)	-	OH
Unknown Individual	-	OH
DR. JENNY K SAWYER (M.D.)	-	OH
DR. SAIRA BANU ISMAIL (MD)	-	OH
DR. BRYAN J PACE (D.O.)	Cardiovascular Disease (Cardiology), Internal Medicine	NC

Reviews

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Frequently asked questions

Is there an official ID for DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) in U.S. healthcare records?

The official identifier for DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) is NPI 1790728988.

Would DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) appear as active to a payer?

You can treat DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) as active for directory purposes; confirm clinical privileges separately.

How would a patient describe DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.)'s focus?

For DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What locale is associated with DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.)?

Directory geography for DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) centers on South Euclid, Ohio.

When was this NPI issued?

Enumeration for DR. STEPHEN ALAN RUDOLPH (M.D.; PH.D.) is noted as June 14, 2006 where the registry provides it.

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