Individual provider Active NPI

Stephen Thomas Rust, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • New London, NH
National Provider Identifier
1750508776
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
16686 Issued in NH
Practice address
273 County Rd
New London, NH 03257-5736
Phone
(603) 526-2911
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 035798 CO
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 16686 NH Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4997 AK
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD201508 OR

Addresses

Primary practice location

273 County Rd
New London, NH 03257-5736

Mailing address

273 County Rd
New London, NH 03257-7700
Phone (603) 526-2911

Other practice location 1

60 Commercial St
Suite 401
Concord, NH 03301-5071
Phone (603) 228-7555

Other practice location 2

6410 NE Halsey St Ste 300
Portland, OR 97213-4759
Phone (503) 215-2273

Other identifiers 1

IdentifierTypeStateIssuer
01357987MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srust26756@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 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
I20150108000470 NH Practitioner - Hospice/Palliative Care 2466365960 Reassigns benefits to 3 organizations
I20221201000348 ME Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Geriatric Medicine 2466365960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Geriatric Medicine, Internal Medicine
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The New London Hospital Association IncGroup PAC ID 5294643623, shared by 3 NPIs, 66 clinicians

Practice addresses (Care Compare)

273 Country Rd
New London, NH 03257-5736
Phone (603) 526-5215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4997AKMDHospice and Palliative Medicine (Internal Medicine) Physician
035798COMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Dec 5, 2022 Accepting new patients
Maine Medical Partners CurrentSince Dec 5, 2022 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Maine Medical Partners Current Accepting new patients
The New London Hospital Association, Inc. Hospice and Palliative Medicine CurrentSince Feb 5, 2024 Accepting new patients
The New London Hospital Association, Inc. Current Accepting new patients
Chronic Care Consultants Past Accepting new patients

Locations

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

Interoperability endpoints

  • Direct secure messaging: srust26756@oc.providencedirect.org
  • Direct secure messaging: srust548238@direct.dartmouth-hitchcock.org
  • Direct secure messaging: srust559936@direct.mmc.mainehealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1750508776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032577700",
            "telephone_number": "603-526-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575736",
            "telephone_number": "603-526-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Commercial St",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015071",
            "country_code": "US",
            "telephone_number": "603-228-7555",
            "fax_number": "603-228-7558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 NE Halsey St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972134759",
            "country_code": "US",
            "telephone_number": "503-215-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUST",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "035798",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NH",
            "license": "16686",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AK",
            "license": "4997",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OR",
            "license": "MD201508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357987",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srust26756@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "6410 NE Halsey St Ste 300",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972134759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.