Parvine Sarah Rustamova, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17137 Issued in NV

Practice address

6045 Lindley Ave Unit 31
Tarzana, CA 91356-1731

Phone

(310) 484-9959

NPI assigned

Mar 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Merit-based Incentive Payment System (MIPS)

Final score

61.15 of 100Reported as group

Quality

36.67

Improvement activities

40

Cost

61.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prustamo@yourcarecommunity.org

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.

• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Platinum Hospitalists LLP

  dba Platinum Continuity and Specialty Clinic

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1437948726
  NPD
• S Pannu Inc

  • Internal Medicine Physician
  • Susanville, CA
  • NPI 1407987522
  NPD (past)
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)

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

• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba ER at South Summerlin, Extension of Summerlin Hospital

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1730506882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 LINDLEY AVE UNIT 31",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561731",
            "telephone_number": "310-484-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 LINDLEY AVE UNIT 31",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561731",
            "telephone_number": "310-484-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTAMOVA",
        "first_name": "PARVINE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "17137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruslana Kadze MD Inc
• Latasha Nicole Russell
• Laura Grace Russell
• Terrance Russell, DV FACILITATOR
• Megan Sue Rust
• RX Boutique Pharmacy Inc
• RX Diagnostic Management, Inc.
• RX Pharmaceutical, Inc (Tarzana Wellness Pharmacy)
• S & a Hospice and Palliative Care Inc
• S S Medical Associates Inc

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.

Verify at the official NPI Registry.