DANIEL JAY RUDOLPH MD
NPI 1356335707
Internal Medicine - Pulmonary Disease in Trumbull, CT
About Daniel Jay Rudolph Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL JAY RUDOLPH MD (NPI 1356335707) is an individual pulmonary disease provider in Trumbull, Connecticut, licensed in Connecticut (028331) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daniel Jay Rudolph Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Daniel Rudolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 1,824 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 20
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Daniel Rudolph's NPI number?
The NPI number for Daniel Rudolph is 1356335707. It was assigned to this individual provider in the NPPES registry on August 31, 2005.
Where is Daniel Rudolph located?
Daniel Rudolph practices at 15 Corporate Dr, Trumbull, CT 06611. The listed phone number is (203) 261-3980.
What is Daniel Rudolph's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Daniel Rudolph enrolled in Medicare?
Yes. Daniel Rudolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Daniel Rudolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Rudolph reassigns Medicare benefits to Northeast Medical Group, Inc. (Bridgeport, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Daniel Rudolph was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.