Active NPI
Adam Joseph Rush, MD
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301091218
- Practice address
- 412 Plymouth Ave NE
Grand Rapids, MI 49505-6028 - Phone
- (616) 780-2324
- Fax
- (616) 431-2407
- NPI assigned
- Jun 26, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35.087412 | OH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD421021 | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301091218 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301091218 | MI | |
| Pediatrics Physician | 208000000X | 35.087412 | OH | |
| Pediatrics Physician | 208000000X | MD421021 | PA |
Addresses
Primary practice location
412 Plymouth Ave NE
Grand Rapids, MI 49505-6028
Mailing address
412 Plymouth Ave NE
Grand Rapids, MI 49505-6028
Phone (616) 780-2324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2658922 | Medicaid | OH | |
| 1012379200002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
412 Plymouth Ave NE
Grand Rapids, MI 49505-6028
Phone (616) 780-2324
Hospital & facility affiliations
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.087412 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand River Rehabilitation LLC | Pediatrics | Current | Accepting new patients |
| Rehabilitation Medicine Associates,PLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Motion Medicine,LLC | Pediatrics | Past | Accepting new patients |
Locations
412 Plymouth Ave NE
Grand Rapids, MI 49505
Phone (616) 459-4601
Interoperability endpoints
- https://api.platform.athenahealth.com/20015/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1124519707
Pediatrics
-
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1548379571
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1932275799
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1528095643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 PLYMOUTH AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495056028",
"telephone_number": "616-780-2324",
"fax_number": "616-431-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 PLYMOUTH AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495056028",
"telephone_number": "616-780-2324",
"fax_number": "616-431-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35.087412",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD421021",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301091218",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301091218",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.087412",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD421021",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2658922",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012379200002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.