Active NPI
Randall Thomas Rust, MD
- Orthopaedic Surgery Physician
- Windermere, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME100461
- Practice address
- 5151 Winter Garden Vineland Rd Ste 206
Windermere, FL 34786-6098 - Phone
- (407) 573-3360
- Fax
- (407) 643-2811
- NPI assigned
- Dec 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME100461 | FL | Primary |
Addresses
Primary practice location
5151 Winter Garden Vineland Rd Ste 206
Windermere, FL 34786-6098
Mailing address
5151 Winter Garden Vineland Rd Ste 206
Windermere, FL 34786-6098
Phone (407) 573-3360
Other practice location 1
1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287
Other practice location 2
601 E Oak St Ste A
Kissimmee, FL 34744-4574
Phone (407) 847-0835
Other practice location 3
7300 Sandlake Commons Blvd Ste 127
Orlando, FL 32819-8011
Phone (407) 345-1646
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497R | Other | BCBS | |
| 003892600 | Medicaid | FL | |
| 622976 | Other | WELLCARE | |
| 01440170 | Other | AMERIGROUP | |
| 3195285 | Other | UNITED HEALTHCARE | |
| 348451 | Other | AVMED | |
| 7534257 | Other | CIGNA | |
| 9605661 | Other | AETNA | |
| P992885 | Other | FREEDOM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Orthopedic Surgery
- Education
- Medical College of Ohio, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services IncAbility Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
1200 Lexington Green LN
Sanford, FL 32771-1013
1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111
8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237
Hospital & facility affiliations
- Mederi Caretenders
- Orlando Health
- Adventhealth Orlando
- Orlando Health-Health Central Hospital
- Orlando Health South Lake Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 23 |
| Knee replacement | 33 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100461 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
7300 Sandlake Commons Blvd
Ste 127
Orlando, FL 32819
Phone (321) 841-9025
1285 Orange Ave
Winter Park, FL 32789
Phone (407) 647-2287
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- rrust26902@orlandohealth.medalliesdirect.net
- rrust@jortho1643.srs-direct.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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Orthopaedic Surgery
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Longwood, FL
- NPI 1568082402
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1801079934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 WINTER GARDEN VINELAND RD STE 206",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866098",
"telephone_number": "407-573-3360",
"fax_number": "407-643-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 WINTER GARDEN VINELAND RD STE 206",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866098",
"telephone_number": "407-573-3360",
"fax_number": "407-643-2811"
}
],
"practiceLocations": [
{
"address_1": "1285 Orange Ave",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327894984",
"country_code": "US",
"telephone_number": "407-647-2287",
"fax_number": "407-643-2801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Oak St Ste A",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347444574",
"country_code": "US",
"telephone_number": "407-847-0835",
"fax_number": "407-643-2810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7300 Sandlake Commons Blvd Ste 127",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328198011",
"country_code": "US",
"telephone_number": "407-345-1646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUST",
"first_name": "RANDALL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME100461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1497R",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003892600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "622976",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01440170",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3195285",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "348451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7534257",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9605661",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P992885",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.