Michael Rudolph, MD
NPI 1619296563ActiveIndividual· Internal Medicine· Fridley, MN
Internal Medicine (MD) with Allina Health System, practicing in Fridley, Minnesota. In 2024 Medicare paid $48,321 for 229 patients, and Part D covered 291 of their prescriptions, 88% of them generic. Lists Mercy Hospital as a hospital affiliation.
Overview
| NPI | 1619296563 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | May 18, 2010 |
| Last updated in NPPES | Nov 10, 2020 |
| Certified by provider | Nov 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 57068 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MN); Practitioner - Internal Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 229 |
|---|---|
| Services billed | 570 across 14 procedure codes |
| Paid by Medicare | $48,321 |
Part D prescriptions in 2024
| Prescriptions (claims) | 291 · 305 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $15,504 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
Hospital affiliation
- Mercy HospitalCoon Rapids, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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