Rdm Surgical Assistant
NPI 1265054712 · Surgical Physician Assistant · Depauw, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rdm Surgical Assistant is a Surgical Physician Assistant organization in Depauw, IN (NPI 1265054712).
Provider details
- NPI number
- 1265054712
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rebecca Autry, Owner(812) 267-6695
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-07
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Frequently asked questions
- What is Rdm Surgical Assistant's NPI number?
- Rdm Surgical Assistant's National Provider Identifier (NPI) is 1265054712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rdm Surgical Assistant?
- Rdm Surgical Assistant is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rdm Surgical Assistant located?
- Rdm Surgical Assistant's practice location on file with NPPES is 10081 Fredericksburg Rd Nw, Depauw, IN 47115-8629.
- What is Rdm Surgical Assistant's phone number?
- The practice phone number listed in the NPPES registry for Rdm Surgical Assistant is (812) 267-6695.
- Does Rdm Surgical Assistant accept Medicare?
- Rdm Surgical Assistant is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rdm Surgical Assistant?
- The authorized official listed on Rdm Surgical Assistant's NPPES record is Rebecca Autry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rdm Surgical Assistant's NPI active?
- Yes — Rdm Surgical Assistant's NPI (1265054712) is active in the NPPES registry as of the last update on 2020-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.