Individual provider Active NPI

Alok Rustogi, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Potomac Falls, VA
National Provider Identifier
1730116575
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
0101236706 Issued in VA
Practice address
46090 Lake Center PLZ
201
Potomac Falls, VA 20165-5876
Phone
(703) 489-0508
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 0101236706 VA Primary

Addresses

Primary practice location

46090 Lake Center PLZ
201
Potomac Falls, VA 20165-5876

Mailing address

46090 Lake Center PLZ
201
Potomac Falls, VA 20165-5876
Phone (703) 489-0508

Other identifiers 3

IdentifierTypeStateIssuer
206438OtherVAANTHEM BC
P00382573OtherMEDICARE RAILROAD
10270880MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070124000452 VA Practitioner - HospitalistPractitioner - Internal Medicine 2668417148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

224 A Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

46090 Lake Ctr PLZ
Suite 201
Potomac Falls, VA 20165-5878
Phone (703) 444-6544

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101236706VAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Practice Associates PC CurrentSince Sep 1, 2006 Accepting new patients
Inova Health Care Services CurrentSince Dec 2, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 2, 2024 Accepting new patients
Sanjeev M. Wasan, M.D., PLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

19420 Golf Vista Plz
Ste 240
Leesburg, VA 20176
Phone (703) 444-6544

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

46090 Lake Center Plz
Ste 201
Sterling, VA 20165
Phone (703) 444-6544

Interoperability endpoints

  • Direct secure messaging: arustogi63666@soc.inova.org
  • Direct secure messaging: drar@internal-med-practice.direct.kno2fy.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1730116575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-489-0508",
            "fax_number": "703-468-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "201",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-489-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTOGI",
        "first_name": "ALOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "VA",
            "license": "0101236706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "206438",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00382573",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10270880",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac Falls, VA

Sources for this page

Verify at the official NPI Registry.