Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Rudolph Francis Evonich III, M.D.

Clinical Cardiac Electrophysiology Physician in Green Bay, WI · enumerated 2006.

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

National Provider Identifier

1205909967

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Rudolph Francis Evonich III

Credential M.D.

Sex Male

Practice address 744 S Webster Ave Fl 2, Green Bay, WI, 54301

Phone (920) 433-3640

Fax (920) 433-3716

Enumeration date Nov 17, 2006

Last updated in NPPES Apr 10, 2023

Taxonomy & licenses

207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians · License 21241-875 (WI) Secondary

207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians · License 4301076776 (MI) Secondary

207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians · License 77869-20 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P00412659	Other	-	RAILROAD MEDICARE
0605210971	Other	MI	BLUE CROSS BLUE SHIELD
5184312	Medicaid	MI	-
34966000	Medicaid	WI	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1205909967 active?

Yes, as of the latest NPPES snapshot, NPI 1205909967 is active (record last updated 2023-04-10).

How do I verify Rudolph Evonich's NPI record?

Cross-check NPI 1205909967 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-10.