Individual provider Active NPI

Chad George Rusthoven, M.D.

  • Radiation Oncology Physician
  • Morehead City, NC
National Provider Identifier
1265758205
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2022-03120 Issued in NC
Practice address
3500 Arendell St
Morehead City, NC 28557-2901
Phone
(252) 499-6191
Fax
(252) 499-6948
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2022-03120 NC Primary

Addresses

Primary practice location

3500 Arendell St
Morehead City, NC 28557-2901

Mailing address

PO Box 1142
Morehead City, NC 28557-1142
Phone (252) 499-6191

Other identifiers 1

IdentifierTypeStateIssuer
1265758205MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230117001440 NC Practitioner - Radiation Oncology 1153562475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiation Oncology PLLCGroup PAC ID 0648582056, 2 clinicians

Practice addresses (Care Compare)

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6191

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
85.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-03120NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Radiation Oncology PLLC Radiation Oncology CurrentSince Mar 1, 2023 Accepting new patients

Locations

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Interoperability endpoints

  • Direct secure messaging: crusthoven22112@carolinaeastmc.direct-ci.com

Organizations & group practices 1

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 2

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1265758205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285571142",
            "telephone_number": "252-499-6191",
            "fax_number": "252-499-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572901",
            "telephone_number": "252-499-6191",
            "fax_number": "252-499-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTHOVEN",
        "first_name": "CHAD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2022-03120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265758205",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.