Active NPI
Thomas Joseph Rudnicki, D.O.
- Internal Medicine Physician
- Canfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34.013006
- Practice address
- 61 Talsman Dr
Canfield, OH 44406-1207 - Phone
- (330) 533-2218
- Fax
- (330) 533-6111
- NPI assigned
- May 13, 2014
- 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 | 34.013006 | OH | Primary |
Addresses
Primary practice location
61 Talsman Dr
Canfield, OH 44406-1207
Mailing address
61 Talsman Dr
Canfield, OH 44406-1207
Phone (330) 533-2218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
61 Talsman Dr
Canfield, OH 44406-1207
Phone (330) 729-3851
Hospital & facility affiliations
- Patriot Homecare, Inc
- Expand Health Skilled at Home LLC
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- Surgical Hospital at Southwoods
- MH St Joseph Warren Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.013006 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Internal Medicine | Current | Accepting new patients |
Locations
61 Talsman Dr
Canfield, OH 44406
Phone (330) 533-2218
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010
Interoperability endpoints
- trudnicki56859@direct.bsmhealth.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Youngstown, OH
- NPI 1548936156
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568873503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 TALSMAN DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061207",
"telephone_number": "330-533-2218",
"fax_number": "330-533-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 TALSMAN DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061207",
"telephone_number": "330-533-2218",
"fax_number": "330-533-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNICKI",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.013006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.