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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NASER RUSTOM MD
NPI 1154374171
Internal Medicine in Chicago, IL

Active since May 19, 2006PECOS Enrolled
4941 N KEDZIE AVE, CHICAGO, IL 60625(773) 509-9099(773) 509-9006 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Naser Rustom Md NPPES

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

DR. NASER RUSTOM MD (NPI 1154374171) is an individual internal medicine provider in Chicago, Illinois and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154374171
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NASER RUSTOMCredential: MD
Location Address4941 N KEDZIE AVEChicago, IL 60625-5009
Mailing Address4941 N Kedzie AveChicago, IL 60625-5009 · (773) 509-9099 · Fax (773) 509-9006
Phone(773) 509-9099
Fax(773) 509-9006
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1154374171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4941 N KEDZIE AVE, Chicago, IL 60625
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Other Names 1

Former Name (1)Dr. Naser Rustom Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Naser Rustom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. SAOUD DABBAH MD
Chiropractor
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 588-7600
TEAM MED PC
Family Medicine
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9099
NADA ZAYZAFOON
Dentist (General Practice)
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9200
PREFERRED OPEN MRI LTD
Radiology (Diagnostic Radiology)
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 293-0451
RUSTUM THERAPY, LLC
Counselor (Professional)
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 691-0086
GALILEE MEDICAL CENTER, S.C.
Radiology (Diagnostic Radiology)
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 293-0451
DENTAL EDGE
Dentist (General Practice)
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 661-0668
JOSE J CASTELLANOS MD
Family Medicine
4941 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9099

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 Naser Rustom's NPI number?

The NPI number for Naser Rustom is 1154374171. It was assigned to this individual provider in the NPPES registry on May 19, 2006. The provider is also known as Dr. Naser Rustom MD.

Where is Naser Rustom located?

Naser Rustom practices at 4941 N Kedzie Ave, Chicago, IL 60625. The listed phone number is (773) 509-9099.

What is Naser Rustom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Naser Rustom enrolled in Medicare?

Yes. Naser Rustom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Naser Rustom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.