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DAVID G RUSTAD MD
NPI 1013978568
Surgery - Pediatric Surgery in Edina, MN

Active since March 31, 2006PECOS Enrolled
7710 COMPUTER AVE, #110, EDINA, MN 55435(952) 835-9442(952) 835-9443 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David G Rustad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID G RUSTAD MD (NPI 1013978568) is an individual pediatric surgery provider in Edina, Minnesota, licensed in Minnesota (30222) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013978568
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDAVID G RUSTADCredential: MD
Location Address7710 COMPUTER AVE, #110Edina, MN 55435-5417
Mailing Address2530 Chicago Ave, #550Minneapolis, MN 55404-4289 · (612) 813-8000 · Fax (612) 813-8005
Phone(952) 835-9442
Fax(952) 835-9443
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 8, 2012
✔ NPI 1013978568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MN · 30222
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
7710 COMPUTER AVE, Edina, MN 55435
Open in Google Maps ↗

Other Identifiers 3

Medicaid837782100MN
Medicare UPINA96122MN
Medicare ID-Type Unspecified020001639MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David G Rustad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Rustad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Surgical Associates Ltd
7.7 mi
Pediatric Surgery
2530 CHICAGO AVE, SUITE 550
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 20 clinicians in this Medicare group
NPI 1093778292 (612) 813-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY H HOU MD
Urology (Pediatric Urology)
7710 COMPUTER AVE, SUITE 110
EDINA, MN 55435
Hennepin County (952) 835-9442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Rustad's NPI number?

The NPI number for David Rustad is 1013978568. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is David Rustad located?

David Rustad practices at 7710 Computer Ave #110, Edina, MN 55435. The listed phone number is (952) 835-9442.

What is David Rustad's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is David Rustad enrolled in Medicare?

Yes. David Rustad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Rustad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Rustad reassigns Medicare benefits to Pediatric Surgical Associates Ltd (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Rustad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Rustad was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.