Individual provider Active NPI

Joseph Michael Rustick, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1376736272
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11311 Issued in AZ
Practice address
5025 N Central Ave
Ste 459
Phoenix, AZ 85012-1520
Phone
(602) 790-9847
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11311 AZ Primary

Addresses

Primary practice location

5025 N Central Ave
Ste 459
Phoenix, AZ 85012-1520

Mailing address

5025 N Central Ave
Ste 459
Phoenix, AZ 85012-1520
Phone (602) 790-9847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150915001646 AZ Practitioner - Anesthesiology 1951618578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.26 of 100Reported as group
Quality
97.62
Improvement activities
40
Cost
67.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Anesthesia Group,LLC Anesthesiology CurrentSince Aug 1, 2021 Accepting new patients
Radius Anesthesia of Arizona PLLC Anesthesiology CurrentSince May 5, 2018 Accepting new patients
Diamond Diagnostics, LLC CurrentSince Mar 17, 2017 Accepting new patients
Anesthesiology Associates Anesthesiology Past Accepting new patients
Diamond Medical Equipment L.L.C. PastSince Mar 17, 2017 Accepting new patients

Locations

1324 N Farrell Ct
Ste 102
Gilbert, AZ 85233
Phone (480) 926-4363

300 W Clarendon Ave
Ste 230
Phoenix, AZ 85013
Phone (323) 470-0335

8761 E Bell Rd
Ste 101
Scottsdale, AZ 85260
Phone (480) 219-6662

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 5

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1376736272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N CENTRAL AVE",
            "address_2": "STE 459",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121520",
            "telephone_number": "602-790-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N CENTRAL AVE",
            "address_2": "STE 459",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121520",
            "telephone_number": "602-790-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTICK",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "11311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.