DR. KERMIT RUSSELL RUST M.D. NPI 1194036574

NPI Information

NPI: 1194036574
Provider Name: DR. KERMIT RUSSELL RUST, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: WICHITA RADIOLOGICAL GROUP PROF ASSOC

PECOS Registration: Yes

Address:
9300 E 29TH ST N STE 206
WICHITA, KS
ZIP 67226
Phone: (316) 260-6762
Get Directions

DR. Kermit Russell Rust, M.D. is a vascular and interventional radiology radiology in Wichita, KS with 14 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Kermit Russell Rust, M.D. NPI is 1194036574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9300 E 29TH ST N STE 206
WICHITA, KS
ZIP 67226-183
Phone: (316) 260-6762

The NPI 1194036574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 6/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		125058810	ILLINOIS	No
2	2085R0202X	Radiology	Diagnostic Radiology	28347	OKLAHOMA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	04-38788	KANSAS	Yes
4	2085R0204X	Radiology	Vascular & Interventional Radiology	MD043000	DISTRICT OF COLUMBIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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