Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONNOR RUDNICKI DO
NPI 1548904329
Anesthesiology in Philadelphia, PA

Active since April 26, 2022PECOS Enrolled
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: August 02, 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
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

Other Identifiers 1

Medicaid1046352330008PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Connor Rudnicki Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234512054
PECOS Enrollment IDI20260526001895, I20260526002540
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.

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.

Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141

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 enrollment system.

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 25 days 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.