Active NPI
Sarah Ruth Rustad, M.D.
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1114285160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64527-20
- Practice address
- 5315 Wall St Ste 260
Madison, WI 53718-7937 - Phone
- (608) 807-1600
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 64527-20 | WI | Primary |
Addresses
Primary practice location
5315 Wall St Ste 260
Madison, WI 53718-7937
Mailing address
5315 Wall St Ste 260
Madison, WI 53718-7937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100052321 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2690 Research Park Dr
Suite F
Fitchburg, WI 53711-4921
Phone (608) 417-8585
Hospital & facility affiliations
- Uw Health Care Direct
- Unitypoint Health - Meriter
- University of Wi Hospitals & Clinics Authority
- Stoughton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Meriter Hospital, Inc. | Current | Accepting new patients |
Locations
2690 Research Park Dr
Ste F
Fitchburg, WI 53711
Phone (608) 417-8585
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
Interoperability endpoints
- srustad1101200@direct.unitypoint.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital Unit
- Madison, WI
- NPI 1548280225
-
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
-
- General Practice Physician
- Madison, WI
- NPI 1932572955
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Middleton, WI
- NPI 1164085965
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1114285160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 WALL ST STE 260",
"city": "MADISON",
"state": "WI",
"postal_code": "537187937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 WALL ST STE 260",
"city": "MADISON",
"state": "WI",
"postal_code": "537187937",
"telephone_number": "608-807-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSTAD",
"first_name": "SARAH",
"middle_name": "RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "64527-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100052321",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.