NPIMap

Individual provider Active NPI

Terry A Rustin, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1922066620
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F8656 Issued in TX
Practice address
13603 Shavano Arrow
San Antonio, TX 78230-5834
Phone
(713) 775-7155
Fax
(888) 858-2458
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F8656 TX
Addiction Medicine (Internal Medicine) Physician 207RA0401X F8656 TX
Psychiatry Physician 2084P0800X F8656 TX Primary

Addresses

Primary practice location

13603 Shavano Arrow
San Antonio, TX 78230-5834

Mailing address

13603 Shavano Arrow
San Antonio, TX 78230-5834
Phone (713) 775-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F8656TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kerrville Medical Services, PA Addiction Medicine Past Accepting new patients
Primary Medicine Center LLC Internal Medicine Past Accepting new patients
Rodom Medical Consulting PA Internal Medicine Past Accepting new patients
University of Texas Health Science Past Accepting new patients
Jsa Health Texas, PLLC Psychiatry Past Accepting new patients

Organizations & group practices 5

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1922066620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 SHAVANO ARROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305834",
            "telephone_number": "713-775-7166",
            "fax_number": "888-858-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13603 SHAVANO ARROW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305834",
            "telephone_number": "713-775-7155",
            "fax_number": "888-858-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTIN",
        "first_name": "TERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F8656",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "TX",
            "license": "F8656",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F8656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.