Ruosu An, MD
Individual provider Active NPI Vascular Surgery Physician · Rowlett, TX
NPI 1447541545 · NPPES record last updated Sep 14, 2016
Key facts
- NPI
- 1447541545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- Q8006 (TX)
- Practice address
- 7700 Lakeview Pkwy
Ste C
Rowlett, TX 75088-4302 - Phone
- (972) 487-7928
- NPI assigned
- Apr 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Vein Institute
Practice addresses (Care Compare)
100 Europa Dr
Suite 180
Chapel Hill, NC 27517-2395
Phone (919) 510-8900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 65 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131001707 | NC | Practitioner - Vascular Surgery | 2769709070 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | AR | MD | Emergency Medicine Physician |
| Q8006 | TX | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Vein Institute | Current |
Accepting new patients |
Locations
100 Europa Dr
Ste 180
Chapel Hill, NC 27517
Phone (919) 929-6777
2245 Gateway Access Pt
Ste 315
Raleigh, NC 27607
Phone (919) 510-8900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 390200000X | AR | |
| Vascular Surgery Physician | 2086S0129X | Q8006 | TX | Yes |
Addresses
Primary practice location
7700 Lakeview Pkwy
Ste C
Rowlett, TX 75088-4302
Mailing address
7700 Lakeview Pkwy
Ste C
Rowlett, TX 75088-4302
Other providers in Rowlett, TX
- Nader Hawari Alrimawi
- Alternative Pain Institute
- Dana Marie Amador
- Augusta E Amaechi
- Glenn A Amaral
- Ana Trevathan RN PLLC
- Wendy Michell Andrade
- Melissa Andrews
- Amy Andujar
- Anew Health and Rehab, LLC
All providers in Rowlett, TX · Vascular Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.