Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922427160 Individual Practitioner Female Practitioner

Dr. Lo'rell Rudolph , DO

Pediatrics • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Dr. Lo'Rell Rudolph, DO is a registered healthcare professional specializing in Pediatrics in Dearborn, MI. Practice services are available at 5500 AUTO CLUB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5500 Auto Club Dr

Dearborn, MI 48126

Telephone 3134254500
Associated Practice Facility / Clinic
🏢 Henry Ford Health System Facility NPI 1992899397

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Dearborn, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 5101021994

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Rima Hall

Nurse Practitioner - Family

NPI 1073195475
Dr. Annamaria Maples , MD

Obstetrics & Gynecology

NPI 1093219362

Doctor of Medicine (M.D.)

Dr. Leah Hong , MD

Obstetrics & Gynecology

NPI 1174985154

Doctor of Medicine (M.D.)

Michele Monette

Social Worker

NPI 1295277267
NPI 1376136713

Limited Licensed Master Social Worker

Dr. Theresa Toledo , MD

Psychiatry & Neurology - Psychiatry

NPI 1477962884

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address March 24, 2021

Registered at 19470 GOLDWIN ST, SOUTHFIELD, MI 480757222 (Tel: 3305921719)

📍
Updated Practice Location July 25, 2018

Registered at 5500 AUTO CLUB DR, DEARBORN, MI 48126 (Tel: 3134254500)

📍
Updated Business Mailing Address July 25, 2018

Registered at 25650 W 12 MILE RD APT 304, SOUTHFIELD, MI 480348006 (Tel: 3305921719)

👤
Provider Name / Credentials Updated July 25, 2018

Recorded as LO'RELL RUDOLPH, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Pediatrics (License #5101021994 in MI)

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2014

Registered at 1300 ROANOKE AVE, RIVERHEAD, NY 119012031 (Tel: 6315486000)

📍
Updated Business Mailing Address April 15, 2014

Registered at 1300 ROANOKE AVE, RIVERHEAD, NY 119012031

👤
Provider Name / Credentials Updated April 15, 2014

Recorded as LO'RELL MARTIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Lo'rell Rudolph. Be the first to share your experience!

Sign in to leave a review for Dr. Lo'rell Rudolph

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922427160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2014
Last Update: March 24, 2021
Sole Proprietor: No

Mailing Address

19470 Goldwin St

Southfield, MI 480757222

Phone: 3305921719

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.