RUDOLPH E WILLIS (M.D.) – Hematology & Oncology Physician, NPI 1831194216

RUDOLPH E WILLIS (M.D.) is a healthcare provider. based in Portsmouth, Virginia. specializing in HOSPICE/PALLIATIVE CARE, MEDICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101233411 (VA). The NPI Number for RUDOLPH E WILLIS (M.D.) is 1831194216

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
RUDOLPH E WILLIS (M.D.)
NPI
1831194216
Phone
(757) 396-6333
Address
355 CRAWFORD ST
Enumeration Date
14 June 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4439490814
Graduation Year
1977 (49 years ago)
PAC ID
3779597356
Group Practice PAC ID
9638478019
Professional Enrollment ID
I20190619002089
Address ID
MD212076665GW2200XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

120 HOSPICE/PALLIATIVE CARE in VA

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Provider Addresses for RUDOLPH E WILLIS (M.D.)

  • 355, Crawford Street, Olde Towne Commons, Portsmouth, Virginia, 23704, United States

    STE 300

    PORTSMOUTH, VA 237042819

    Phone: (757) 396-6333

    Fax: (757) 396-6367

    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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Novo Nordisk Inc ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$23
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: 2019-06-19

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
I20190619002089IHospice/Palliative CareMDTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes78162$0
99239Hospital discharge day management, more than 30 minutes5047$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 23704)

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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: 9638478019View full group profile
NameSpecialtyState
-MD
Internal Medicine, Hospitalist, Hospitalist, Internal MedicinePA
N E U R O L O G YMD
Hospitalist, Family PracticeMD
-MD
Internal Medicine, HospitalistWV
Internal MedicineMI
Internal MedicineMI
-MD
Internal Medicine, Hospitalist, Internal MedicineWV

Reviews

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Frequently asked questions

What number should I use to identify RUDOLPH E WILLIS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1831194216 for RUDOLPH E WILLIS (M.D.).
Does the public listing show RUDOLPH E WILLIS (M.D.) as active?
RUDOLPH E WILLIS (M.D.)'s NPI record reflects an active status in NPPES.
What services align with RUDOLPH E WILLIS (M.D.)'s listing?
RUDOLPH E WILLIS (M.D.)'s public classification highlights Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to RUDOLPH E WILLIS (M.D.)?
RUDOLPH E WILLIS (M.D.) shows a connection to Portsmouth, Virginia in registry-derived data.
Can I export RUDOLPH E WILLIS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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