Active NPI
Michael Rus, M.D.
- Anesthesiology Physician
- Smithtown, NY
National Provider Identifier
1376528828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 198185
- Practice address
- 7 Lorraine CT
Smithtown, NY 11787-1633 - Phone
- (631) 813-8216
- Fax
- (888) 939-3964
- NPI assigned
- Dec 7, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 198185 | NY | Primary |
Addresses
Primary practice location
7 Lorraine CT
Smithtown, NY 11787-1633
Mailing address
7 Lorraine CT
Smithtown, NY 11787-1633
Phone (631) 813-8216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC0399 | Other | NY | MEDICARE |
| 02068257 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great South Bay Endoscopy Center, LLC | Current | Accepting new patients | |
| Office Based Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| PPG Anesthesia, PLLC | Anesthesiology | Past | Accepting new patients |
| Alliance Anesthesiology Associates, P.L.L.C. | Anesthesiology | Past | Accepting new patients |
| Suffolk Anesthesiology Associates, PC | Anesthesiology | Past | Accepting new patients |
| Physicians Choice Surgicenter Inc | Past | Accepting new patients | |
| United Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
260 Patchogue Yaphank Rd
Ste C
East Patchogue, NY 11772
Phone (631) 289-0300
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- East Patchogue, NY
- NPI 1366864514
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1720226483
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1407947617
-
- Ambulatory Surgical Clinic/Center
- Howard Beach, NY
- NPI 1730301284
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1740430727
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1194826420
-
- Anesthesiology Physician
- Smithtown, NY
- NPI 1407076391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1376528828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LORRAINE CT",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871633",
"telephone_number": "631-813-8216",
"fax_number": "888-939-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 LORRAINE CT",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117871633",
"telephone_number": "631-813-8216",
"fax_number": "888-939-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "198185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CC0399",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02068257",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.