Robert Iver Hustrulid, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00012133 Issued in WA

Practice address

1215 N Mddonald Rd
Ste 101
Spokane, WA 99216

Phone

(509) 924-1950

Fax

(509) 921-0017

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

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

Specialty

Internal Medicine

Education

University of Minnesota Medical School, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Spokane Valley, WA, CCN 507130
• Centerwell Home Health Home health agency, Spokane Valley, WA, CCN 507021
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22456/brand/1/csg/1/fhir/r4
• Direct secure messaging: robert.hustrulid.1@22456.direct.athenahealth.com

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.

• Robert I Hustrulid MD PLLC

  • Internal Medicine Physician
  • Spokane Valley, WA
  • NPI 1265049829
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1265789820
  Care Compare affiliation
• Eden Home Health of Spokane County, LLC

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1588212641
  Care Compare affiliation
• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1528079217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MDDONALD RD",
            "address_2": "STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N MDDONALD RD",
            "address_2": "STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-924-1950",
            "fax_number": "509-921-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTRULID",
        "first_name": "ROBERT",
        "middle_name": "IVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00012133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7052905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Christopher Lacroix Huss, LICSW
• Eric S Hussey, O.D.
• Danielle Huston Fisher, MSW, LICSW, LCSW
• Huston Hearing Care
• Janice Marie Huston
• David Allan Hutchins, L.M.H.C.
• Masami Yamamoto Hutchins, LICSW
• Abby L Hutchinson, PTA
• Debra Elise Hutchison
• Bryan Huter

• Internal Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.