Individual provider Active NPI

Joel Rush, DO

  • Orthopaedic Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1609865542
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS05228 Issued in FL
Practice address
1960 NE 47TH St Ste 102
Fort Lauderdale, FL 33308
Phone
(954) 463-3200
Fax
(954) 463-3292
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS05228 FL Primary

Addresses

Primary practice location

1960 NE 47TH St Ste 102
Fort Lauderdale, FL 33308

Mailing address

1960 NE 47TH St Ste 102
Fort Lauderdale, FL 33308-7708
Phone (954) 463-3200

Other identifiers 1

IdentifierTypeStateIssuer
379967100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050309000291 FL Practitioner - Orthopedic Surgery 0345294757

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS05228FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joel L. Rush D.O, P.a. Orthopaedic Surgery CurrentSince May 1, 2008 Accepting new patients
Lauderdale Orthopaedic Surgeons LLP Orthopaedic Surgery Past Accepting new patients
Lauderdale Orthopaedic Surgeons LLP Orthopaedic Surgery Past Accepting new patients

Locations

1960 NE 47th St
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 463-3200

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1609865542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 NE 47TH ST STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087708",
            "telephone_number": "954-463-3200",
            "fax_number": "954-463-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 NE 47TH ST STE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-463-3200",
            "fax_number": "954-463-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS05228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379967100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.