Individual provider Active NPI

Timothy Rudowsky, PA-C

  • Physician Assistant
  • Lebanon, PA
National Provider Identifier
1689959835
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059068 Issued in PA
Practice address
1701 Cornwall Rd Ste 101
Lebanon, PA 17042-7480
Phone
(717) 675-1788
Fax
(717) 675-1800
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059068 PA Primary

Addresses

Primary practice location

1701 Cornwall Rd Ste 101
Lebanon, PA 17042-7480

Mailing address

1701 Cornwall Rd Ste 101
Lebanon, PA 17042-7480
Phone (717) 675-1788

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911000479 PA Practitioner - Physician Assistant 4486927654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

950 Smile Way C
Penn Medicine Healthworks North York
York, PA 17404-1725
Phone (717) 213-8651

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Aug 2, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Hospital CurrentSince Aug 2, 2024 Accepting new patients
Lancaster General Medical Group CurrentSince Sep 11, 2017 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations (25 of 35)

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

418 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-1467

99 Masonic Dr
Ste 101
Elizabethtown, PA 17022
Phone (717) 396-9167

434 Springville Rd
Ste 100
Ephrata, PA 17522
Phone (717) 456-0620

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

5360 Lincoln Hwy
Ste 15
Gap, PA 17527
Phone (717) 442-8111

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

1655 Crooked Oak Dr
Lancaster, PA 17601
Phone (717) 569-2678

2128 Embassy Dr
Lancaster, PA 17603
Phone (717) 509-5090

100 N Queen St
Ste 200
Lancaster, PA 17603
Phone (717) 544-3555

175 S Centerville Rd
Lancaster, PA 17603
Phone (717) 299-4644

101 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 291-5991

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

1701 Cornwall Rd
Ste 101
Lebanon, PA 17042
Phone (717) 544-9400

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

146 E Main St
Leola, PA 17540
Phone (717) 646-2141

201 Rock Lititz Blvd
Ste 14
Lititz, PA 17543
Phone (717) 544-3555

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

1001 E Oregon Rd
Lititz, PA 17543
Phone (717) 569-3271

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

700 Lancaster Rd
Manheim, PA 17545
Phone (717) 314-0924

Interoperability endpoints

  • Direct secure messaging: trudowsky171431@direct-lghealth.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1689959835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD STE 101",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427480",
            "telephone_number": "717-675-1788",
            "fax_number": "717-675-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CORNWALL RD STE 101",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427480",
            "telephone_number": "717-675-1788",
            "fax_number": "717-675-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOWSKY",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.