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CONNOR RUDNICKI DO
NPI 1548904329
Anesthesiology in Philadelphia, PA

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-7979(215) 456-8539 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Jul 7, 2026, May 2, 2022 and 1 more (4 updates tracked since 2022).

About Connor Rudnicki Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR RUDNICKI DO (NPI 1548904329) is an individual anesthesiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS025640) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548904329
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCONNOR RUDNICKICredential: DO
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018
Mailing AddressPo Box 788735Philadelphia, PA 19178-8735 · (215) 456-7000 · Fax (215) 254-3289
Phone(215) 456-7979
Fax(215) 456-8539
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2022
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1548904329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in PA · OS025640
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5501 OLD YORK RD, Philadelphia, PA 19141
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Other Identifiers 1

Medicaid1046352330008PA

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

Connor Rudnicki Do 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.

PECOS PAC ID9234512054
PECOS Enrollment IDI20260526002540
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Connor Rudnicki reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan Inc
Same address
Diagnostic Radiology
5501 OLD YORK RD
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1396703955 (215) 456-6200
Methodist Associates In Health Care, Inc
3.6 mi
Diagnostic Radiology
4900 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Methodist Associates In Healthcare, Inc
  • 600 clinicians in this Medicare group
NPI 1609417872 (215) 831-2063
Jefferson University Physicians
6.1 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000
Methodist Associates In Healthcare Of New Jersey, P.C.
21 mi
Neurological Surgery
445 HURFFVILLE CROSSKEYS RD STE B16
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 182 clinicians in this Medicare group
NPI 1568078095 (856) 256-7591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Connor Rudnicki's NPI number?

The NPI number for Connor Rudnicki is 1548904329. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Connor Rudnicki located?

Connor Rudnicki practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-7979.

What is Connor Rudnicki's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Connor Rudnicki enrolled in Medicare?

Yes. Connor Rudnicki 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 organizations bill Medicare for Connor Rudnicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Rudnicki reassigns Medicare benefits to 4 organizations: Einstein Practice Plan Inc (Philadelphia, PA), Methodist Associates In Health Care, Inc (Philadelphia, PA), Jefferson University Physicians (Philadelphia, PA) and Methodist Associates In Healthcare Of New Jersey, P.C. (Sewell, NJ). Each 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 Connor Rudnicki'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 Connor Rudnicki 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.