DR. RUDOLF W CISCO DPM NPI 1043236706

NPI Information

NPI: 1043236706
Provider Name: DR. RUDOLF W CISCO, DPM
Classification: Podiatrist - 213ES0103X
Specialization: Foot & Ankle Surgery
Entity Type: Individual
Address: 1224 SHERWOOD PARK DR NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 287-0606

Map and Directions

Get Directions

NPI Details

DR. Rudolf W Cisco, DPM is a foot and ankle surgery podiatrist in Gainesville, GA with 40 years of experience. DR. Rudolf W Cisco, DPM NPI is 1043236706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1224 SHERWOOD PARK DR NE
GAINESVILLE, GA
ZIP 30501-445
Phone: (770) 287-0606
Fax: (770) 287-0159

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
Trimming of dystrophic nails, any number (HCPCS:G0127)
Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
X-ray of foot, minimum of 3 views (HCPCS:73630)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
Trimming of fingernails or toenails (HCPCS:11719)
Injection into tendon or ligament (HCPCS:20550)
Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
Permanent removal fingernail or toenail (HCPCS:11750)
Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 7/15/2006 and was last updated on 1/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	000596	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U20478	MEDICARE UPIN	GEORGIA
2	48SCBCJ	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	00409274A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI