RUDY M. TEDJA DO – NPI #1639344963
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

RUDY TEDJA is a physician located in RENO, NV. NPPES has assigned the NPI number 1639344963 to RUDY TEDJA on April 28, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 8 years ago on Sep 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUDY TEDJA below.

NPI Profile for
RUDY M. TEDJA

NPI Number
1639344963
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUDY M. TEDJA
Credentials
DO
Primary location
1155 MILL ST
RENO, NV 89502
Phone: (775) 982-7878 Fax: (775) 982-4196
2 Other location(s):
600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 521-6097 Ext: 5289
10101 Double R Blvd
Reno, NV 89521-3149
Phone: (775) 982-7878
Fax: (775) 982-4196
Mailing address
850 HARVARD WAY
RENO, NV 89502-2055
Phone: (775) 982-5262 Fax: (775) 982-5496
Sole Proprietor
No
Updated
Identifiers

Identifiers for RUDY TEDJA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCAQH14271792
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
MN 57113
207RI0200X
- Internal Medicine / Infectious Disease
NV DO2441

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES - Graduated 2008
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RUDY TEDJA is affiliated with the following medical group(s):
  • HOSPITAL
    • RENOWN REGIONAL MEDICAL CENTER
      1155 MILL STREET
      RENO, NV 89502

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