Dennis M Rustom, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101054293 Issued in VA

Practice address

20 Rock Pointe LN
Warrenton, VA 20186-2679

Phone

(540) 347-9900

Fax

(540) 349-0920

NPI assigned

Feb 22, 2006

Last updated

Apr 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dennis.rustom.p9@direct.piedpeds.nextgenshare.com

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.

• Piedmont Pediatrics, PLC

  • Pediatrics Physician
  • Warrenton, VA
  • NPI 1205802402
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1497720361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROCK POINTE LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862679",
            "telephone_number": "540-347-9900",
            "fax_number": "540-349-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ROCK POINTE LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862679",
            "telephone_number": "540-347-9900",
            "fax_number": "540-349-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTOM",
        "first_name": "DENNIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101054293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010027438",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Ross, FNP-BC
• Rikhonda Rovey, NP
• Julie Maybach Royal, P.T.
• Rule 62 Therapy LLC
• Joan Ellen Russo, LCSW
• Sonia Saini
• Nathaniel Saint-Preux, MD
• Michelle Jimenez Salcedo, NP
• Samuel J. Lloyd MD PC
• Samuel L. Weir, O.D., P.C.

• Pediatrics Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.