Active NPI
Alok Rustogi, MD
- Adolescent Medicine (Internal Medicine) Physician
- Potomac Falls, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 0101236706
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206438 | Other | VA | ANTHEM BC |
| P00382573 | Other | MEDICARE RAILROAD | |
| 10270880 | Medicaid | VA |
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
Enrollment records 1
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 Services
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236706 | VA | MD | Adolescent Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Practice Associates PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | 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
- arustogi63666@soc.inova.org
- 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.
-
- Internal Medicine Physician
- Potomac Falls, VA
- NPI 1669403051
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Gastroenterology and Hepatology Center
- Specialist
- Potomac Falls, VA
- NPI 1114198033
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1437587888
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Home Health Agency
- Herndon, VA
- NPI 1104859339
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
- Suma Rajarao
- Rapha Spine & Neuro Center-Annandale, Inc. (Rapha Clinic)
- Fedele Fiore Regan, L.C.S.W.
- Wendy J Reynolds-Hilliard, DC
- Sylvester Carlton Robinson III, D.D.S.
- Sanjeev M. Wasan, M.D., PLC (Gastroenterology and Hepatology Center)
- Cara Schantz, DDS
- Tzvia Schweitzer, CMT
- Senior Care Safe at Home, Inc.
- Mariah A Shojaei, DMD, MSC, MSD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.