Active NPI
Rustom Ardeshir Rastinehad, M.D.
- Urology Physician
- Saratoga Springs, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 1137281
- Practice address
- 271 W Circular St
Saratoga Springs, NY 12866-6012 - Phone
- (518) 587-8421
- Fax
- (518) 587-8423
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 1137281 | NY | Primary |
Addresses
Primary practice location
271 W Circular St
Saratoga Springs, NY 12866-6012
Mailing address
271 W Circular St
Saratoga Springs, NY 12866-6012
Phone (518) 587-8421
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001684 | Other | NY | CDPHP |
| 24108 | Other | NY | MVP |
| 46319 | Other | NY | GHI |
| 00405240001 | Other | NY | BLUE SHIELD |
| 95117 | Other | NY | EMPIRE BLUE CROSS |
| 00376178 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Urology
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000
Hospital & facility affiliations
- Glens Falls Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.88 of 100
- Quality
- 71.44
- Promoting interoperability
- 97.95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137281 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glens Falls Hospital Inc | Current | Accepting new patients | |
| Glens Falls Hospital Inc. | Current | Accepting new patients | |
| Biem Medical Services | Urology | Past | Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
79 North St
Granville, NY 12832
Phone (518) 642-0612
Interoperability endpoints
- https://api.platform.athenahealth.com/13487/brand/1/csg/1/fhir/r4
- rustom.rastinehad.1@13487.direct.athenahealth.com
- rrastinehad113101@albanymed.direct-ci.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Glens Falls, NY
- NPI 1336198217
-
- Urology Physician
- Saratoga Springs, NY
- NPI 1376098277
-
- Community/Retail Pharmacy
- Glens Falls, NY
- NPI 1619990991
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1740253152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 W CIRCULAR ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666012",
"telephone_number": "518-587-8421",
"fax_number": "518-587-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 W CIRCULAR ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128666012",
"telephone_number": "518-587-8421",
"fax_number": "518-587-8423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTINEHAD",
"first_name": "RUSTOM",
"middle_name": "ARDESHIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "1137281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10001684",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "24108",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "46319",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00405240001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "95117",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00376178",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.