DAVID H RUSTOM M.D.
NPI 1073877320
Physical Medicine & Rehabilitation - Pain Medicine in Detroit, MI

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
261 MACK AVE STE 188, DETROIT, MI 48201(313) 745-4600(313) 745-1165 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Nov 21, 2017, Jul 14, 2017 (3 updates tracked since 2017).

About David H Rustom M.d. NPPES

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

DAVID H RUSTOM M.D. (NPI 1073877320) is an individual pain medicine provider in Detroit, Michigan, licensed in Michigan (4301101540) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1073877320
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDAVID H RUSTOMCredential: M.D.
Location Address261 MACK AVE STE 188Detroit, MI 48201-2417
Mailing Address261 Mack Ave, Suite 188Detroit, MI 48201 · (313) 745-4600 · Fax (313) 745-1165
Fax(313) 745-1165
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1073877320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in MI · 4301101540
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301101540 (MI)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 4301101540 (MI)
261 MACK AVE STE 188, Detroit, MI 48201

Secondary Practice Location 1

Location 16071 W Outer DrDetroit, MI 48235-2624 · Phone (313) 966-3250 · Fax (313) 966-1738

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David H Rustom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890915193
PECOS Enrollment IDI20141009000788
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services81 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
34 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
21 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
261 MACK AVE STE 188
DETROIT, MI 48201
Physical Medicine & Rehabilitation (Pain Medicine)
261 MACK AVE STE 188
DETROIT, MI 48201

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 Rustom's NPI number?

The NPI number for David Rustom is 1073877320. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is David Rustom located?

David Rustom practices at 261 Mack Ave Ste 188, Detroit, MI 48201. The listed phone number is (313) 745-4600.

What is David Rustom's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is David Rustom enrolled in Medicare?

Yes. David Rustom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Rustom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list David Rustom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Rustom affiliated with any hospitals?

According to CMS data, David Rustom is affiliated with Harper University Hospital and Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for David Rustom was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.