Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Adam R Rudolph, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821593369

Dr. Adam R Rudolph, MD is a Family Practice in Petersburg, Indiana. Graduated from Indiana University School of Medicine in 2018, 8 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1004 E Illinois St
Petersburg, IN 47567-8068
Phone: (812) 354-1052
Fax: (812) 354-8280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01086361A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821593369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount