Individual provider Active NPI

Tyler William Rust, M.D.

  • Diagnostic Radiology Physician
National Provider Identifier
1033347133
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R0651 Issued in TX
Practice address
51 MDG
Unit 2060
Apo, AP 96278-2060
Phone
(505) 784-8717
NPI assigned
Jun 26, 2009
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R0651 TX Primary

Addresses

Primary practice location

51 MDG
Unit 2060
Apo, AP 96278-2060

Mailing address

CMR 402 Box 827
Apo, AE 09180-0009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRUST583762@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230515002710 CO Practitioner - Diagnostic Radiology 0749562510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging Consultants PCGroup PAC ID 1850298647, 45 clinicians
Uchealth Imaging Services LLCGroup PAC ID 5799021291, 247 clinicians

Practice addresses (Care Compare)

106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511

1400 E Boulder St
Memorial Hospital Central
Colorado Springs, CO 80909-5599
Phone (719) 365-5120

5818 N Nevada Ave
Suite 100
Colorado Springs, CO 80918-3505
Phone (719) 365-7480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
43.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients
Uchealth Imaging Services, LLC Diagnostic Radiology Current Accepting new patients
Radiology & Imaging Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Uchealth Imaging Services, LLC CurrentSince Jul 1, 2023 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Aug 1, 2025 Accepting new patients

Locations (25 of 36)

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

875 W 136th Ave
Ste 100
Broomfield, CO 80023
Phone (303) 457-7700

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

1370 Interquest Pkwy
Ste 110
Colorado Springs, CO 80921
Phone (719) 364-6600

1370 Interquest Pkwy
Ste 300
Colorado Springs, CO 80921
Phone (719) 364-3750

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

175 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 305-8000

175 S Union Blvd
Ste 340
Colorado Springs, CO 80910
Phone (719) 365-5242

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

3843 Rio Vista Dr
Ste 1100
Colorado Springs, CO 80917
Phone (719) 364-4903

3843 Rio Vista Dr
Ste 2500
Colorado Springs, CO 80917
Phone (719) 364-5480

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 364-8950

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

8115 Voyager Pkwy
Colorado Springs, CO 80920
Phone (719) 203-3300

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

9480 Briar Village Pt
Ste 200
Colorado Springs, CO 80920
Phone (719) 278-3627

Interoperability endpoints

  • Direct secure messaging: trust583762@direct.med.utah.edu

Organizations & group practices 6

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1033347133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "CMR 402 BOX 827",
            "city": "APO",
            "state": "AE",
            "postal_code": "091800009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "51 MDG",
            "address_2": "UNIT 2060",
            "city": "APO",
            "state": "AP",
            "postal_code": "962782060",
            "telephone_number": "505-784-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "TYLER",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R0651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRUST583762@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.