Active NPI
Howard L Rudnick, MD
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD040862L
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-1622
- Fax
- (215) 707-0943
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD040862L | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-1622
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301102 | Other | PA | AETNA |
| 20069346 | Other | PA | AMERIHEALTH MERCY-WMG |
| 290196 | Other | PA | MAMSI-WMG |
| 233506 | Other | PA | UNISON-WMG |
| 001181090 | Medicaid | PA | |
| 210234 | Other | JOHNS HOPKINS | |
| 50074421 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1513513 | Other | PA | GATEWAY-WMG |
| 570882 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Old York Rd
Suite 2B
Abington, PA 19001-3720
Phone (215) 481-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abington Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Emergency Physician Associates of Pennsylvania, PC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Cardiology Diagnostic Associates, LLC | Past | Accepting new patients | |
| Womencare OB GYN, P.C. | Past | Accepting new patients | |
| Cumberland Pathology Associates, LLC | Past | Accepting new patients |
Locations
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
Interoperability endpoints
- howard.rudnick.p27@direct.medcor.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
-
- Surgery Physician
- Philadelphia, PA
- NPI 1174005011
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Cardiovascular Disease Physician
- Middletown, PA
- NPI 1750345948
-
- Anatomic Pathology Physician
- Carlisle, PA
- NPI 1386695666
-
- Specialist
- Willow Grove, PA
- NPI 1881631166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1386629145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-1622",
"fax_number": "215-707-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-1622",
"fax_number": "215-707-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNICK",
"first_name": "HOWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD040862L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4301102",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "20069346",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "290196",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "233506",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001181090",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "210234",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50074421",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1513513",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "570882",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.