Individual provider Active NPI

James Allen Rusch, M.D.

  • Psychiatry Physician
  • Gulfport, MS
National Provider Identifier
1780618686
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10487 Issued in MS
Practice address
11150 Highway 49N
Gulfport, MS 39503
Phone
(228) 575-1000
Fax
(228) 575-2002
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10487 MS Primary

Addresses

Primary practice location

11150 Highway 49N
Gulfport, MS 39503

Mailing address

PO Box 321359
Flowood, MS 39232-1359
Phone (601) 936-1395

Other identifiers 3

IdentifierTypeStateIssuer
A118875OtherVALUE OPTIONS
15183274OtherUBH
00110800MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20110112000455 MS Practitioner - Psychiatry 0446449177 Reassigns benefits to 1 organization
Practice locations: Gulfport, MS

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceans Mississippi Medical Group LLCGroup PAC ID 9830422716, 9 clinicians

Practice addresses (Care Compare)

152 Gateway Dr
Biloxi, MS 39531-4409
Phone (228) 388-0691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10487MSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oceans Mississippi Medical Group LLC CurrentSince Jan 30, 2019 Accepting new patients
Oceans Behavioral Hospital of Biloxi LLC Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

152 Gateway Dr
Biloxi, MS 39531
Phone (228) 388-0600

180 Debuys Rd
Biloxi, MS 39531
Phone (228) 338-0220

180 Debuys Rd
#C
Biloxi, MS 39531
Phone (228) 388-0600

4579 S Eason Blvd
Ste B
Tupelo, MS 38801
Phone (662) 268-4418

Interoperability endpoints

  • Direct secure messaging: jrusch@direct.mhg.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1780618686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321359",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321359",
            "telephone_number": "601-936-1395",
            "fax_number": "601-933-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HIGHWAY 49N",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-575-1000",
            "fax_number": "228-575-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCH",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "10487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A118875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "15183274",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110800",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.