Rustan Joel Van Wyk, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

200001545 Issued in NC

Practice address

275 Bethesda Dr
Greenville, NC 27834-7217

Phone

(252) 752-5077

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Specialty

Urology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rvanwyk206609@direct.unc.nchie.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494

  Urology

  Medicare reassignment Care Compare group NPD
• DLP Rutherford Physician Practices LLC

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1962821322

  Urology

  Medicare reassignment NPD
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Urology

  Medicare reassignment NPD
• Vidant Medical Group Affiliates LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1437549896
  Medicare reassignment NPD
• Smoky Mountain Urological Inc.

  • Urology Physician
  • Hendersonville, NC
  • NPI 1063627834
  NPD Authorized official
• Smoky Mountain Urology, Inc

  • Non-Pharmacy Dispensing Site
  • Hendersonville, NC
  • NPI 1588955744
  NPD Authorized official
• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment
• DLP Rutherford Physician Practices LLC

  • Rural Health Clinic/Center
  • Rutherfordton, NC
  • NPI 1720849391
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830

  Urology

  NPD

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

• East Carolina Health - Chowan Inc

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• East Carolina Health - Heritage Inc

  • General Acute Care Hospital
  • Tarboro, NC
  • NPI 1699757393
  Care Compare affiliation
• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation
• Pitt County Memorial Hospital Inc

  • General Acute Care Hospital
  • Washington, NC
  • NPI 1780359687
  Care Compare affiliation
• Pitt County Memorial Hospital, Inc

  • General Acute Care Hospital
  • Greenville, NC
  • NPI 1043218944
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1861474439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347217",
            "telephone_number": "252-752-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347217",
            "telephone_number": "252-752-5077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Foy Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042417",
            "country_code": "US",
            "telephone_number": "252-443-3136",
            "fax_number": "252-443-3847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN WYK",
        "first_name": "RUSTAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "DO0000002787",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "200001545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013975",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861474439",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvanwyk206609@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "180 Foy Dr",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Betsy Kay Van Benthuysen, D.M.D.
• Brian Van Doren
• Peter Arthur Van Houten, MD
• Godard Jacques Van Reede, PHD
• Elizabeth Christina Van Wyk, MD
• Chelsea Lynn Vanaken, DO
• Laila Vance
• Andrew James Vande Berg, ATC
• Kristin Maddox Vandenbussche, LCSW-A
• Joel Leonard Vanderford

• Urology Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.