Individual provider Active NPI

Herman F. Rusche, MD

  • Gastroenterology Physician
  • Evansville, IN
National Provider Identifier
1326078619
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01020178 Issued in IN
Practice address
802 Wiltshire Dr
Evansville, IN 47715-4272
Phone
(812) 477-6597
Fax
(812) 477-6226
NPI assigned
Jul 3, 2006
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 01020178 IN Primary

Addresses

Primary practice location

802 Wiltshire Dr
Evansville, IN 47715-4272

Mailing address

802 Wiltshire Dr
Evansville, IN 47715-4272
Phone (812) 477-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151103001556 IN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7618158916

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01020178INMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Group at Safe Harbor, LLC PastSince Oct 1, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1326078619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 WILTSHIRE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154272",
            "telephone_number": "812-477-6597",
            "fax_number": "812-477-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 WILTSHIRE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154272",
            "telephone_number": "812-477-6597",
            "fax_number": "812-477-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCHE",
        "first_name": "HERMAN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01020178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.