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

Individual provider Emergency Medicine Physician · NPI 1851366561

Jonathan B Rudolf, MD is an Emergency Medicine in Farmington, New Mexico. Graduated from Temple University School of Medicine in 1991, 35 years ago. Practices with Animas Surgical Hospital LLC, a 70-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
35
Trained at
Temple University School of Medicine
Licensed in
NM
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4101 Cristo Rey St
Farmington, NM 87401-8615
Phone: (505) 325-4380
Fax: (505) 207-4463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2004-0021 (NM)

Record details

NPI number1851366561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 17, 2006
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address4101 Cristo Rey St, Farmington, NM 87401-8615

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Animas Surgical Hospital Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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