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Deactivated NPI 1295795680 Deactivated / Inactive NPI Female Practitioner

Dr. Alicja M Rudnicka , MD

Dermatology • Webster, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alicja Rudnicka has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2006
NPI Deactivation Date March 09, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Alicja Rudnicka, MD was a registered Dermatology practicing in Webster, MA. Throughout an active medical career spanning 14 years, Dr. Rudnicka provided care at the practice location at 340 THOMPSON ROAD until profile deactivation on 2020-03-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of skin growth, destruction of up to 14 skin growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

340 Thompson Road

Webster, MA 01570

Telephone 5089496880
Fax 5089496742

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Webster, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Webster, MA (648 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $211.00 $78.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $118.00 $47.64

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MA 37771

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Mark Tarantan , MD

Internal Medicine

NPI 1083941173

Doctor of Medicine (M.D.)

NPI 1518936343

Doctor of Medicine (M.D.)

Dr. Dmitry Levenson , MD

Internal Medicine

NPI 1588685671

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 09, 2020

Record deactivated on March 09, 2020

NPI Profile Active February 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 23, 2009

Registered at 340 THOMPSON ROAD, WEBSTER, MA 01570 (Tel: 5089496880)

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Updated Business Mailing Address February 23, 2009

Registered at 630 PLANTATION STREET, WOT 12TH FLOOR ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605 (Tel: 5089496880)

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Provider Name / Credentials Updated February 23, 2009

Recorded as ALICJA RUDNICKA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2009

Dermatology (License #37771 in MA)

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Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295795680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2006
Last Update: February 23, 2009
Deactivation Date: March 09, 2020

Mailing Address

630 Plantation Street, Wot 12th Floor Attn Physician Services

Worcester, MA 01605

Phone: 5089496880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.