Active NPI
Thomas C Rushton, MD
- Infectious Disease Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME63732
- Practice address
- 820 Prudential Dr Ste 515
Jacksonville, FL 32207-8207 - Phone
- (904) 396-4886
- Fax
- (904) 398-0496
- NPI assigned
- Apr 19, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17822 | WV | |
| Infectious Disease Physician | 207RI0200X | 17822 | WV | |
| Infectious Disease Physician | 207RI0200X | ME63732 | FL | Primary |
Addresses
Primary practice location
820 Prudential Dr Ste 515
Jacksonville, FL 32207-8207
Mailing address
PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077233000 | Medicaid | WV | |
| 0977448 | Medicaid | OH | |
| 64700404 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of South Florida College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
820 Prudential Dr
Suite 515
Jacksonville, FL 32207-8207
Phone (904) 396-4886
Hospital & facility affiliations
- Baptist Home Health Care by Bayada
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Baptist Medical Center - Nassau
- Flagler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME63732 | FL | MD | Infectious Disease Physician |
| 17822 | WV | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Medical Management, LLC | Internal Medicine | Current | Accepting new patients |
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc | Internal Medicine | Current | Accepting new patients |
| St. Mary'S Medical Management, LLC | Current | Accepting new patients |
Locations
1340 S 18th St
Ste 202A
Fernandina Beach, FL 32034
Phone (904) 202-4325
1747 Baptist Clay Dr
Ste 250A
Fleming Island, FL 32003
Phone (904) 202-4325
14534 Old Saint Augustine Rd
Ste 3110A
Jacksonville, FL 32258
Phone (904) 202-4325
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
836 Prudential Dr
Ste 105A
Jacksonville, FL 32207
Phone (904) 202-4325
820 Prudential Dr
Ste 515
Jacksonville, FL 32207
Phone (904) 396-4886
1320 Roberts Dr
Ste 105A
Jacksonville Beach, FL 32250
Phone (904) 202-4325
2828 1st Ave
Ste 304
Huntington, WV 25702
Phone (304) 399-7213
2828 1st Ave
Ste 200
Huntington, WV 25702
Phone (304) 399-7530
2828 1st Ave
Ste 301
Huntington, WV 25702
Phone (304) 523-0169
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004
Interoperability endpoints
- trushton28285@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Internal Medicine
-
- Family Medicine Physician
- Huntington, WV
- NPI 1922155217
Internal Medicine
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Orthopaedic Surgery Physician
- Huntington, WV
- NPI 1205596665
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Home Health Agency
- Jacksonville, FL
- NPI 1023612884
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1740245018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45443",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841450443",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 515",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078207",
"telephone_number": "904-396-4886",
"fax_number": "904-398-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSHTON",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "17822",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WV",
"license": "17822",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME63732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077233000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0977448",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64700404",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.