DR. RUDY HARTONO TAAREA MD
NPI 1336121862
Preventive Medicine - Aerospace Medicine in Opp, AL

NPI Status: Active since November 18, 2005

Contact Information

511 BRANTLEY ST
OPP, AL
ZIP 36467
Phone: (334) 493-3240

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  • Individual
  • Male
  • Preventive Medicine
  • Aerospace Medicine
  • PECOS Enrolled

About RUDY TAAREA

This page provides the complete NPI Profile along with additional information for Rudy Taarea, a provider established in Opp, Alabama with a medical specialization in Preventive Medicine, focusing in aerospace medicine . The healthcare provider is registered in the NPI registry with number 1336121862 assigned on November 2005. The practitioner's primary taxonomy code is 2083A0100X with license number AL19483 (AL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1336121862
Provider Name
DR. RUDY HARTONO TAAREA MD
Gender
Male
Entity Type
Individual
Location Address
511 BRANTLEY ST OPP, AL 36467
Location Phone
(334) 493-3240
Mailing Address
511 BRANTLEY ST OPP, AL 36467
Mailing Phone
(334) 493-3240
Is Sole Proprietor?
No
Enumeration Date
11-18-2005
Last Update Date
11-20-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Aerospace Medicine

Taxonomy Code
2083A0100X
Type
Allopathic & Osteopathic Physicians
License No.
AL19483
License State
AL
Taxonomy Description
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Medicare Participation & PECOS Enrollment Status

Rudy Taarea is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 36467 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.31
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $30.57
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.72
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $23.43
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336121862
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366222812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 2 + 2 + 8 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1336121862 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568088862HYPERBARIC & WOUNDCARE INC
Organization
Preventive Medicine (Undersea and Hyperbaric Medicine)511 BRANTLEY ST
OPP, AL 36467
(813) 238-7540
1376836106MRS. TONYA WYNETTE WRIGHT CRNP
Individual
Nurse Practitioner (Family)511 BRANTLEY ST
OPP, AL 36467
(334) 493-3240
1447098587 JANIYA ZAKIYA ROGERS
Individual
Behavior Technician511 BRANTLEY ST
OPP, AL 36467
(334) 493-5712
1801634969 CHRISTION MUSGROVE
Individual
Behavior Technician511 BRANTLEY ST
OPP, AL 36467
(334) 493-5712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336121862, enumerated in the NPI registry as an "individual" on November 18, 2005

The provider is located at 511 Brantley St Opp, Al 36467 and the phone number is (334) 493-3240

The provider's speciality is Preventive Medicine with taxonomy code 2083A0100X with a focus in Aerospace Medicine

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $122.31 with an average copayment of $30.57 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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