DR. RAMI RUSTUM MD NPI 1881694180

NPI Information

  • NPI: 1881694180
  • Provider Name: DR. RAMI RUSTUM, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 280 MERRIMACK ST
    SUITE 103
    LAWRENCE, MA
    ZIP 01843
  • Phone: (978) 685-2455

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NPI Details

DR. Rami Rustum, MD is an interventional pain medicine pain medicine in Lawrence, MA with 31 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Rami Rustum, MD NPI is 1881694180. 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:

280 MERRIMACK ST
SUITE 103
LAWRENCE, MA
ZIP 01843-779
Phone: (978) 685-2455
Fax: (978) 685-2459

The NPI 1881694180 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)

The enumeration date for this NPI number is 7/28/2005 and was last updated on 2/7/2017.

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
1207L00000XAnesthesiology213741MASSACHUSETTSNo
2208VP0014XPain MedicineInterventional Pain Medicine213741MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
197211603OTHERMASSACHUSETTSNETWORK HEALTH
2A35063MEDICARE PINMASSACHUSETTS
3J25828OTHERMASSACHUSETTSBCBS
4213741OTHERTUFTS
52002299MEDICAIDMASSACHUSETTS
6A3586901MEDICARE PINMASSACHUSETTS
7203722881OTHERUHC
8003715OTHERSR WHOLE HEALTH
9202705274OTHERMASSACHUSETTSGRE AT WEST
10AA52428OTHERHPHC
11202705274OTHERMASSACHUSETTSTRICARE
12A35869MEDICARE PINMASSACHUSETTS
130039262OTHERNHP
141181899OTHERAETNA
1597211605OTHERMASSACHUSETTSNETWORKHEALTH
1690110OTHERFHP
17AA48214OTHERMASSACHUSETTSHPHC
18202705274OTHERMASSACHUSETTSUHC
196126042OTHERMASSACHUSETTSCIGNA
206126042OTHERCIGNA
217165429OTHERMASSACHUSETTSAETNA
2230204215MEDICAIDNEW HAMPSHIRE
23000000032259OTHERHEALTHNET
241881694181OTHERMASSACHUSETTSBMC
25H79803MEDICARE UPIN
26202705274OTHERUNICARE
27J25828OTHERBCBS
28AA64187OTHERHPHC
291881694180OTHERBMC
30A3586902MEDICARE UPINMASSACHUSETTS

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: 3/30/2025

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