Active NPI
Robert M Prust, MD
- Radiation Oncology Physician
- Traverse City, MI
National Provider Identifier
1629099437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 050323
- Practice address
- 217 S Madison St
Traverse City, MI 49684-2321 - Phone
- (231) 392-8400
- Fax
- (231) 935-7126
- NPI assigned
- Jul 21, 2006
- Last updated
- Feb 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 050323 | MI | Primary |
Addresses
Primary practice location
217 S Madison St
Traverse City, MI 49684-2321
Mailing address
PO Box 84868
Chicago, IL 60689-4868
Phone (231) 392-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B48923 | Medicaid | MI |
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
- Radiation Oncology
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Kalkaska Memorial Health Center
- Munson Healthcare Grayling Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050323 | MI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Past | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Interoperability endpoints
- robert.prust@mhc.direct.varian.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Munson Medical Center Radiation Oncologists
- Radiation Oncology Physician
- Traverse City, MI
- NPI 1376097733
-
dba Cadillac Primary Care & OBGYN
- Obstetrics & Gynecology Physician
- Cadillac, MI
- NPI 1366828527
-
dba Urgent Care-UCN
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1629099437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84868",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606894868",
"telephone_number": "231-392-8400",
"fax_number": "231-935-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 S MADISON ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842321",
"telephone_number": "231-392-8400",
"fax_number": "231-935-7126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUST",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "050323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B48923",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
- Christina Grace Probert
- Lawrence Morris Probes, M.D.
- D'Anne Kay Proehl, PT
- Greg Allen Prusakiewicz, BS
- Vincent R Prusick, M.D.
- Christina Dalton Pryde, CRNA
- Psychological Assessment and Counseling Center
- Paul Thomas Pulice, D.O.
- Pulmonary and Critical Care of Northwest Michigan, P.C.
- Taylor Spitzley Pung, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.