Individual provider Active NPI

David G Rust, MD

  • Anesthesiology Physician
  • Meadville, PA
National Provider Identifier
1740273127
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD052987L Issued in PA
Practice address
20 Forest Ave
Meadville, PA 16335-1319
Phone
(814) 573-4335
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD052978-L PA
Anesthesiology Physician 207L00000X 052978L PA
Anesthesiology Physician 207L00000X MD052987L PA Primary

Addresses

Primary practice location

20 Forest Ave
Meadville, PA 16335-1319

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5728

Other identifiers 2

IdentifierTypeStateIssuer
1468809MedicaidPA
0014688090001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100729000432 PA Practitioner - AnesthesiologyPractitioner - Pain Management 3274607460 Reassigns benefits to 1 organization
I20180914002646 FL Practitioner - Anesthesiology 3274607460 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD052978-LPAMDSpecialist
052978LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Meadville PC Anesthesiology CurrentSince Aug 19, 1994 Accepting new patients
SMH Physician Services Inc CurrentSince Jun 12, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Jun 18, 2018 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Jun 18, 2018 Accepting new patients
Meadville Medical Center PastSince Sep 1, 2009 Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1740273127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5728",
            "fax_number": "814-333-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FOREST AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351319",
            "telephone_number": "814-573-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD052978-L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "052978L",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD052987L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468809",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014688090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.