Individual provider Active NPI

Noam Rudnick, MD

  • Ophthalmology Physician
  • Manchester, CT
National Provider Identifier
1700317278
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
74623 Issued in CT
Practice address
191 Main St
Manchester, CT 06042-3556
Phone
(860) 646-7704
Fax
(860) 647-7340
NPI assigned
Mar 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 74623 CT Primary

Addresses

Primary practice location

191 Main St
Manchester, CT 06042-3556

Mailing address

191 Main St
Manchester, CT 06042-3556
Phone (860) 646-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626001683 CT Practitioner - Ophthalmology 9537416557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants PCGroup PAC ID 5799875951, 7 clinicians

Practice addresses (Care Compare)

191 Main St
Manchester, CT 06042-3556
Phone (860) 646-7704

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74623CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants PC Ophthalmology CurrentSince Jul 25, 2023 Accepting new patients

Locations

5 Two Mile Rd
Farmington, CT 06032
Phone (860) 409-7800

43 Woodland St
Ste 100
Hartford, CT 06105
Phone (860) 527-9020

43 Woodland St
Hartford, CT 06105
Phone (860) 241-0317

191 Main St
Manchester, CT 06042
Phone (860) 643-7973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEACA
  • Direct secure messaging: nrudnick@retinact.intellechartdirect.net
  • Direct secure messaging: nrudnick3000479@direct.trinity-health.org
  • Direct secure messaging: nrudnick503219@xdr.hhchealthdirect.org
  • Direct secure messaging: nrudnick844678@direct.hopkinsmedicine.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1700317278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423556",
            "telephone_number": "860-646-7704",
            "fax_number": "860-647-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423556",
            "telephone_number": "860-646-7704",
            "fax_number": "860-647-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "NOAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "74623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.