Individual provider Active NPI

Augustus John Rush III, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1255726444
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
T1538 Issued in TX
Practice address
12222 N Central Expy Ste 310
Dallas, TX 75243-3788
Phone
(214) 239-7474
Fax
(214) 239-7475
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TRN21451 FL
Orthopaedic Surgery of the Spine Physician 207XS0117X 035.151828 IL
Orthopaedic Surgery of the Spine Physician 207XS0117X T1538 TX Primary

Addresses

Primary practice location

12222 N Central Expy Ste 310
Dallas, TX 75243-3788

Mailing address

12222 N Central Expy Ste 310
Dallas, TX 75243-3788
Phone (214) 239-7474

Other practice location 1

1611 W Harrison St Ste 201
Chicago, IL 60612-4861
Phone (312) 563-6306

Other practice location 2

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211005002596 TX Practitioner - Orthopedic Surgery 1759707474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Spine Consultants, LLPGroup PAC ID 5890850804, 14 clinicians

Practice addresses (Care Compare)

17051 Dallas Pkwy
Suite 400
Addison, TX 75001-7108
Phone (214) 370-3535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion189
Laminectomy or laminotomy (partial removal of spine bones)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN21451FLMDOrthopaedic Surgery Physician
035.151828ILMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Spine Consultants, LLP Orthopaedic Surgery CurrentSince Nov 1, 2023 Accepting new patients
Texas Spine Consultants, LLP Orthopaedic Surgery Current Accepting new patients
Texas Back Institute PLLC CurrentSince Aug 1, 2021 Accepting new patients
Texas Spine Consultants, LLP Orthopaedic Surgery of the Spine CurrentSince Nov 1, 2023 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 400
Addison, TX 75001
Phone (469) 243-9390

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

12222 N Central Expy
Ste 310
Dallas, TX 75243
Phone (214) 239-7474

4461 Coit Rd
Ste 101
Frisco, TX 75035
Phone (844) 557-4263

5757 Warren Pkwy
Ste 150
Frisco, TX 75034

5757 Warren Pkwy
Ste 180
Frisco, TX 75034
Phone (214) 618-5502

3465 National Dr
Ste 200
Plano, TX 75025

Interoperability endpoints

  • Direct secure messaging: augustus.rush.1@15749.direct.athenahealth.com

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.

Hospital & facility affiliations 9

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1255726444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433788",
            "telephone_number": "214-239-7474",
            "fax_number": "214-239-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433788",
            "telephone_number": "214-239-7474",
            "fax_number": "214-239-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 W Harrison St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124861",
            "country_code": "US",
            "telephone_number": "312-563-6306",
            "fax_number": "312-942-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1315",
            "fax_number": "305-324-7658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "AUGUSTUS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "TRN21451",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "035.151828",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "T1538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.