NOAM RUDNICK (MD) – Ophthalmology Physician, NPI 1700317278

NOAM RUDNICK (MD) is a healthcare provider. based in Manchester, Connecticut. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 74623 (CT). The NPI Number for NOAM RUDNICK (MD) is 1700317278

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NOAM RUDNICK (MD)
NPI
1700317278
Phone
(860) 646-7704
Address
191 MAIN ST
Enumeration Date
25 March 2017
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
8606467704
Graduation Year
2017 (9 years ago)
PAC ID
9537416557
Group Practice PAC ID
5799875951
Professional Enrollment ID
I20230626001683
Address ID
CT060423556MA191XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

324 OPHTHALMOLOGY in CT

Provider Addresses for NOAM RUDNICK (MD)

  • 191 MAIN ST

    MANCHESTER, CT 060423556

    Phone: (860) 646-7704

    Fax: (860) 647-7340

    Type: Mailing

  • 1275 York Ave

    New York, NY 100656007

    Phone: (800) 525-2225

    Type: Location

  • Memorial Sloan Kettering Cancer Center, 1275, York Avenue, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10065, United States

    NEW YORK, NY 100656007

    Phone: (800) 525-2225

    Type: Mailing

  • 6201 GREENLEIGH AVE

    MIDDLE RIVER, MD 212202004

    Phone: (410) 933-6423

    Type: Mailing

  • 600 N WOLFE STREET

    WILMER B29

    BALTIMORE, MD 212872128

    Phone: (410) 955-5650

    Fax: (410) 614-8496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,088.

Total Amount is formed as General ($1,088) + Research ($0) + Ownership ($0) = $1,088.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Genentech USA, Inc. ($363).

Total Amount

$1,088

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,088

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230626001683IOphthalmologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg2,34017$0
92134Imaging of retina227172$0
J0178Injection, aflibercept, 1 mg17848$0
92012Established patient problem focused exam of visual system120102$0
67028Injection of drug into eye11971$0
View full utilization report →

Insurance plans in this area (ZIP 06042)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799875951View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCT
-CT
O P H T H A L M O L O G YCT
-CT
-CT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCA
-CT

Reviews

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Frequently asked questions

What number should I use to identify NOAM RUDNICK (MD) for billing?
Administrative and clinical systems typically use NPI 1700317278 for NOAM RUDNICK (MD).
Should I treat NOAM RUDNICK (MD) as an active provider?
Patients and plans typically see NOAM RUDNICK (MD) as active in the national extract.
Which specialty label fits NOAM RUDNICK (MD)?
NPPES ties NOAM RUDNICK (MD) to Ophthalmology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to NOAM RUDNICK (MD)?
The directory associates NOAM RUDNICK (MD) with Manchester, Connecticut. Check all listed addresses for suites or satellite offices.
Why is information missing for NOAM RUDNICK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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