ANIL K RUSTGI MD
NPI 1609919588
Internal Medicine - Gastroenterology in New York, NY

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1130 SAINT NICHOLAS AVE, NEW YORK, NY 10032(212) 851-4822(212) 851-4660 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Nov 14, 2024, Aug 14, 2019 and 1 more (4 updates tracked since 2016).

About Anil K Rustgi Md NPPES

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

ANIL K RUSTGI MD (NPI 1609919588) is an individual gastroenterology provider in New York, New York, licensed in New York (299613) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1609919588
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANIL K RUSTGICredential: MD
Location Address1130 SAINT NICHOLAS AVENew York, NY 10032-3802
Mailing Address1130 Saint Nicholas Ave Rm 201New York, NY 10032-3802 · (212) 851-4822 · Fax (212) 851-4660
Fax(212) 851-4660
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1609919588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in NY · 299613 Licensed in PA · MD066015L
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD066015L (PA), 299613 (NY)
1130 SAINT NICHOLAS AVE, New York, NY 10032

Other Identifiers 1

Medicaid0017074250001PA

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

Anil K Rustgi Md 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 ID3870555196
PECOS Enrollment IDI20191003001648
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Rheumatology)
1130 SAINT NICHOLAS AVE, ROOM 918
NEW YORK, NY 10032
Internal Medicine (Hematology & Oncology)
1130 SAINT NICHOLAS AVE, ROOM 217C
NEW YORK, NY 10032
Pathology (Anatomic Pathology & Clinical Pathology)
1130 SAINT NICHOLAS AVE, R-301
NEW YORK, NY 10032

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 Anil Rustgi's NPI number?

The NPI number for Anil Rustgi is 1609919588. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Anil Rustgi located?

Anil Rustgi practices at 1130 Saint Nicholas Ave, New York, NY 10032. The listed phone number is (212) 851-4822.

What is Anil Rustgi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anil Rustgi enrolled in Medicare?

Yes. Anil Rustgi 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.

Is Anil Rustgi affiliated with any hospitals?

According to CMS data, Anil Rustgi is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Anil Rustgi was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.