Debra S Rusk, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01044174A Issued in IN

Practice address

1701 N Senate Blvd
Ag001
Indianapolis, IN 46202-1239

Phone

(317) 962-8880

Fax

(317) 962-7086

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drusk1@direct.iuhealth.org

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.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment NPD
• Emgi - Riley, LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1720020381
  NPD (past)
• Emgi - University, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Indianapolis, IN
  • NPI 1508808783
  NPD (past)
• Emgi-Wishard

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1619178134
  NPD (past)
• Icem-University-Riley, LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1417284563
  NPD (past)
• Indiana Clinic-Neurology, LLC

  • Neurology Physician
  • Indianapolis, IN
  • NPI 1578792271
  NPD (past)
• University Medical Diagnostic Associates, Inc.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1861441537
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1851596514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130 PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "AG001",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-8880",
            "fax_number": "317-962-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSK",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01044174A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "745530G7",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200202070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura K Rushinsky, ANP
• Jerry L Rushton, MD
• Kyle Vincent Rusin
• Leanne Rusin, LCAC, LMHCA
• Carissa Rusk
• Jessica Prothero Rusnak, PT
• Kevin Rusnak
• Mary C Rusnak, RN
• Rachel Ann Rusnak, M.A.ED CCC-SLP
• Jason D Russ, MD

• Emergency Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.