Active NPI
Ravinder K Rustagi, M.D.
- Cardiovascular Disease Physician
- Cheverly, MD
National Provider Identifier
1063486090
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.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0024720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294741200 | Medicaid | MD |
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajay Sonogram,Inc | Past | 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.
-
- Specialist
- Cheverly, MD
- NPI 1528180551
-
- Clinical Medical Laboratory
- Bowie, MD
- NPI 1447361225
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.