Individual provider Active NPI

Ravinder K Rustagi, M.D.

  • Cardiovascular Disease Physician
  • Cheverly, MD
National Provider Identifier
1063486090
Registry record updated Mar 18, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Sep 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0024720 Issued in MD
Practice address
6132 Landover Rd
Cheverly, MD 20785-1022
Phone
(301) 386-2666
Fax
(301) 386-2085
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0024720 MD Primary

Addresses

Primary practice location

6132 Landover Rd
Cheverly, MD 20785-1022

Mailing address

6132 Landover Rd
Cheverly, MD 20785-1022
Phone (301) 386-2666

Other identifiers 1

IdentifierTypeStateIssuer
294741200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Sonogram,Inc PastSince Feb 7, 2016 Accepting new patients
Ravinder K Rustagi M.D.P.a Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1063486090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851022",
            "telephone_number": "301-386-2666",
            "fax_number": "301-386-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 LANDOVER RD",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851022",
            "telephone_number": "301-386-2666",
            "fax_number": "301-386-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTAGI",
        "first_name": "RAVINDER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0024720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294741200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.