Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Carla Rudolph, DO

General Practice Physician in Edgewood, NM · enumerated 2012 · practices at Sandia Mountain Medical, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104182328

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Registry record

Entity type Individual (Type 1)

Name Carla Rudolph

Credential DO

Sex Female

Practice address 1851 Old Us 66, Edgewood, NM, 87015

Phone (505) 286-2396

Enumeration date Apr 2, 2012

Last updated in NPPES May 4, 2020

Taxonomy & licenses

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License A-1770-13 (NM) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
1104182328	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Carla Rudolph's NPI record?

Cross-check NPI 1104182328 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1104182328 active?

Yes, as of the latest NPPES snapshot, NPI 1104182328 is active (record last updated 2020-05-04).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-04.