DR. DANIEL B. RUKSTALIS M.D.
NPI 1245296375
Urology in Roanoke, VA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 224-5170(540) 983-8212 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Daniel B. Rukstalis M.d. NPPES

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

DR. DANIEL B. RUKSTALIS M.D. (NPI 1245296375) is an individual urology provider in Roanoke, Virginia, licensed in Virginia (0101275901) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1245296375
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DANIEL B. RUKSTALISCredential: M.D.
Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715
Fax(540) 983-8212
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1984
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1245296375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in VA · 0101275901✔ Licensed in NC · 2012-02004
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3 RIVERSIDE CIR, Roanoke, VA 24016

Secondary Practice Location 1

Location 1Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (336) 716-2255 · Fax (336) 716-9042

Other Identifiers 1

Medicaid5921837NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel B. Rukstalis 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 ID3779552823
PECOS Enrollment IDI20260521000385
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 Reassignments

5

Medicare enrollment records show Daniel Rukstalis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
Multi-Specialty
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
Rural Health
22890 VIRGIL GOODE HWY.
Boones Mill, VA 24065
  • Reassigned Medicare billing, Virginia enrollment
  • 608 clinicians in this Medicare group
General Acute Care Hospital
180 FLOYD AVE
Rocky Mount, VA 24151
  • Reassigned Medicare billing, Virginia enrollment
  • 127 clinicians in this Medicare group
Interventional Cardiology
16303 HORACE HARDING EXPY, SUITE 100
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 944 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 13

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
226 services152 patients
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.
86 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
55 services54 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.
55 services55 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
33 services29 patients

Hospital Affiliations CMS Care Compare

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

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers11 claims37 services$7.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3 RIVERSIDE CIR
ROANOKE, VA 24016
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Nurse Practitioner (Family)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Podiatrist (Foot & Ankle Surgery)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Internal Medicine (Gastroenterology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Psychiatry & Neurology (Neurology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016

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 Daniel Rukstalis's NPI number?

The NPI number for Daniel Rukstalis is 1245296375. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Daniel Rukstalis located?

Daniel Rukstalis practices at 3 Riverside Cir, Roanoke, VA 24016. The listed phone number is (540) 224-5170.

What is Daniel Rukstalis's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Daniel Rukstalis enrolled in Medicare?

Yes. Daniel Rukstalis 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.

Which organizations bill Medicare for Daniel Rukstalis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Rukstalis reassigns Medicare benefits to 5 organizations: Carilion Healthcare Corporation (Roanoke, VA), Carilion Medical Center (Roanoke, VA), Carilion Giles Community Hospital (Boones Mill, VA), Carilion Franklin Memorial Hospital (Rocky Mount, VA) and Chs Physician Partners, PC (Fresh Meadows, NY). Each 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 Daniel Rukstalis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Daniel Rukstalis affiliated with any hospitals?

According to CMS data, Daniel Rukstalis is affiliated with St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Rukstalis was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.