NATHAN JEROME RUDOMETKIN MD NPI 1225128994

NPI Information

  • NPI: 1225128994
  • Provider Name: NATHAN JEROME RUDOMETKIN, MD
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24361 EL TORO RD STE 160
    LAGUNA WOODS, CA
    ZIP 92637
  • Phone: (949) 534-4000

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NPI Details

Nathan Jerome Rudometkin, MD is a retina specialist ophthalmology in Laguna Woods, CA with 25 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Nathan Jerome Rudometkin, MD NPI is 1225128994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

24361 EL TORO RD STE 160
LAGUNA WOODS, CA
ZIP 92637-897
Phone: (949) 534-4000

The NPI 1225128994 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Injection, faricimab-svoa, 0.1 mg (HCPCS:J2777)
  • Imaging of retina (HCPCS:92134)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Injection, dexamethasone, intravitreal implant, 0.1 mg (HCPCS:J7312)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Photography of the retina (HCPCS:92250)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • New patient complete exam of visual system (HCPCS:92004)
  • Cataract surgery (HCPCS:)

The enumeration date for this NPI number is 10/13/2006 and was last updated on 1/8/2026.

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
1207W00000XOphthalmologyMD60929372WASHINGTONNo
2207W00000XOphthalmologyA81443CALIFORNIANo
3207WX0107XOphthalmologyRetina SpecialistA81443CALIFORNIAYes

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

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