Individual provider Active NPI

Daniela Rusu, M.D.

  • Anesthesiology Physician
  • Stockbridge, GA
National Provider Identifier
1063466506
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
063124 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1053
NPI assigned
May 20, 2006
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35472 IA
Anesthesiology Physician 207L00000X 063124 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

3475 Lenox Rd NE
Suite 655
Atlanta, GA 30326-3227
Phone (404) 478-8785

Other practice location 1

745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 478-8785

Other identifiers 4

IdentifierTypeStateIssuer
245516OtherIAMIDLANDS CHOICE
0441337MedicaidIA
37038OtherIABLUE CROSS BLUE SHIELD
P00158897OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20091005000420 GA Practitioner - Anesthesiology 8628041647 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35472IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc CurrentSince Dec 11, 2017 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Feb 1, 2012 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 17, 2023 Accepting new patients
Piedmont Anesthesia Associates, L.L.C Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Emory Specialty Associates, LLC Anesthesiology CurrentSince Feb 21, 2022 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Dec 1, 2014 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Feb 1, 2012 Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients
Concordia Regional Pain Service, LLC Anesthesiology Past Accepting new patients

Locations

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

1881 W Kennedy Blvd
Ste C
Tampa, FL 33606
Phone (813) 693-5000

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3200 Downwood Cir NW
Ste 670
Atlanta, GA 30327
Phone (404) 352-4500

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

215 Sheraton Blvd
#2
Macon, GA 31210
Phone (478) 743-1458

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

Interoperability endpoints

  • Direct secure messaging: drusu78348@direct.emory.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1063466506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 LENOX RD NE",
            "address_2": "SUITE 655",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263227",
            "telephone_number": "404-478-8785",
            "fax_number": "866-782-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Poplar Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651618",
            "country_code": "US",
            "telephone_number": "404-478-8785",
            "fax_number": "888-216-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSU",
        "first_name": "DANIELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "35472",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "063124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "245516",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441337",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37038",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00158897",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.