Constantine Shustikoff, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD036291 Issued in DC

Practice address

3020 14TH St NW
Washington, DC 20009-6865

Phone

(202) 518-6453

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Psychiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

Merit-based Incentive Payment System (MIPS)

Final score

95.19 of 100Reported as apm

Quality

79.78

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.92 of 100Reported as group

Quality

75.35

Improvement activities

40

Cost

89.52

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adventist Physician Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Gaithersburg, MD
  • NPI 1376623207

  DC, Psychiatry

  Medicare reassignment Care Compare group NPD
• Wisconsin Ave Psychiatric Center Inc

  • Psychiatric Hospital
  • Washington, DC
  • NPI 1871549949

  Psychiatry

  Medicare reassignment NPD
• Adventist Healthcare, Inc.

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  NPD (past)

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

• Adventist Healthcare, Inc.

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  Care Compare affiliation

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023234689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 UNIVERSITY BLVD W",
            "address_2": "APT.#207",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951852",
            "telephone_number": "301-933-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096865",
            "telephone_number": "202-518-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTIKOFF",
        "first_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD036291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Shumway
• Mercy Shungwa
• Celestine Tamasang Shuonka
• Jeffrey Wilson Shupp, MD
• Grmanesh Hailekiros Shushay
• Patricia Anne Shustock, O.D.
• Claudia Weituh Shuta Nyui
• Monette Marie Shuutleworth, DDS/PERIODONTIST
• Michael B Shvarts, MD
• David Shveiky, M.D.

• Psychiatry Physician in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatry Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.