RUDRICK V. LEDESMA M.D. – NPI #1306125836
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

RUDRICK LEDESMA is a physician located in TYLER, TX. NPPES has assigned the NPI number 1306125836 to RUDRICK LEDESMA on August 15, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 3 years ago on Apr 20, 2023. 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 RUDRICK LEDESMA below.

NPI Profile for
RUDRICK V. LEDESMA

NPI Number
1306125836
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUDRICK V. LEDESMA
Credentials
M.D.
Primary location
1133 MEDICAL DR
TYLER, TX 75701-2130
Phone: (903) 595-5486 Fax: (903) 595-5128
3 Other location(s):
1336 S Palestine St
Athens, TX 75751-3621
Phone: (903) 595-5486
Fax: (903) 595-5128
203 Nacogdoches St Ste 240
Jacksonville, TX 75766-2465
Phone: (903) 595-5486
Fax: (903) 595-5128
4002 S Loop 256 Ste R
Palestine, TX 75801-8498
Phone: (903) 595-5486
Fax: (903) 595-5128
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RUDRICK LEDESMA

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
medicaidOK200653260A
medicaidTX360894501
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
207RN0300X
- Internal Medicine / Nephrology (Primary)		 OK 33999

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

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
RUDRICK LEDESMA is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS MOTHER FRANCES HOSPITAL
      800 EAST DAWSON
      TYLER, TX 75701
    • CHRISTUS MOTHER FRANCES HOSPITAL SULPHUR SPRINGS
      115 AIRPORT RD
      SULPHUR SPRINGS, TX 75482
    • UT HEALTH EAST TEXAS ATHENS HOSPITAL
      2000 SOUTH PALESTINE ST
      ATHENS, TX 75751
    • UT HEALTH EAST TEXAS JACKSONVILLE HOSPITAL
      501 S RAGSDALE
      JACKSONVILLE, TX 75766
    • UT HEALTH EAST TEXAS TYLER REGIONAL HOSPITAL
      1000 SOUTH BECKHAM AVE
      TYLER, TX 75701
  • DIALYSIS FACILITY
    • FRESENIUS MEDICAL CARE PALESTINE HOME LLC
      201 MEDICAL DR
      Palestine, TX 75801
    • JACKSONVILLE DIALYSIS CENTER
      908 STATE HWY 456
      JACKSONVILLE, TX 75766
    • RENAL CARE GROUP - GILMER
      812 US HIGHWAY 271 N
      GILMER, TX 75644

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