NPPES file of Aug 9, 2026

Joseph Rudolph, M.D.

Pediatrics Physician · Fenton, MO

Joseph Rudolph, M.D. is a pediatrics physician with a practice address in Fenton, Missouri, and NPI 1376561464, issued on Jul 17, 2006. Check the license (Missouri MOR4E01, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1376561464
Name
Joseph Rudolph
Credential
M.D.
Primary taxonomy
Pediatrics Physician 208000000X
License number
MOR4E01 MO
Self-reported in NPPES; status is on the state search
Practice location
1011 Bowles Ave, Fenton, MO 63026
Phone
(314) 496-5000
Enumerated
Jul 17, 2006
Record last updated
Sep 2, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(314) 496-5015
Medicaid ID
202083069 MO
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1011 Bowles Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Denise Blackburn, APRN, FNP-BCFamily Nurse Practitioner1043568280
  2. Lawrence Boveri, MDObstetrics & Gynecology Physician1003841388
  3. Stephen Boveri, MDObstetrics & Gynecology Physician1386679660
  4. Allison Brown, FNPFamily Nurse Practitioner1023729605
  5. Brent Davidson, M.D.Ophthalmology Physician1437127065
  6. Amy Eichholz, M.D.Obstetrics & Gynecology Physician1386751030

Verify Joseph Rudolph in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license MOR4E01
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

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12 pediatrics physician records list a practice address in Fenton

They are 12 of the 493 NPPES records with a practice address in Fenton, and 1,560 pediatrics physician records in Missouri. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other pediatrics physician records in Missouri

  1. Joanna Abaraoha, MDSt Louis, MO1487396537
  2. Sol Abarca Acevedo, M.D.Kansas City, MO1881482800
  3. Elaf AbdelmagidSaint Louis, MO1831077627
  4. Mohamed Aashiq Abdul Ghayum, M.D.Kansas City, MO1881211985
  5. Elizabeth Abraham, M.D.Saint Louis, MO1467654293
  6. Moh'd Rawhi Abu Hamad, MDSaint Louis, MO1639741218
  7. Kennison Adams, MDKansas City, MO1447000567
  8. Susan Adams, M.D.Saint Louis, MO1437112570
  9. William Adams, M.D.O Fallon, MO1841281193
  10. Tiffany Addington, MDKansas City, MO1518161439

Common questions

What is Joseph Rudolph, M.D.'s NPI number?

Joseph Rudolph, M.D.'s National Provider Identifier (NPI) is 1376561464, issued on Jul 17, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Joseph Rudolph, M.D. located?

The NPPES record lists a practice address at 1011 Bowles Ave, Fenton, MO, 63026. Phone: (314) 496-5000. Providers update this record themselves, so call before visiting.

How can I verify Joseph Rudolph, M.D.'s license?

NPPES lists Missouri license number MOR4E01, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.