KATHLEEN MARIE RUSTICI (M.D.) – Obstetrics & Gynecology Physician, NPI 1003089293

KATHLEEN MARIE RUSTICI (M.D.) is a healthcare provider. based in Aurora, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 51637 (CO). The NPI Number for KATHLEEN MARIE RUSTICI (M.D.) is 1003089293

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE RUSTICI (M.D.)
NPI
1003089293
Phone
(303) 724-2052
Address
12631 E 17TH AVE
Enumeration Date
8 April 2008
Last Update Date
31 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034036330
Graduation Year
2008 (18 years ago)
PAC ID
3870745920
Group Practice PAC ID
0840513552
Professional Enrollment ID
I20121218000459
Address ID
CO802382624DE2823XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

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Provider Addresses for KATHLEEN MARIE RUSTICI (M.D.)

  • Academic Office One, 12631, East 17th Avenue, Aurora, Adams County, Colorado, 80045, United States

    PO BOX 6511

    AURORA, CO 800452527

    Phone: (303) 724-2052

    Type: Mailing

  • 2807, Roslyn Street, Denver, Denver County, Colorado, 80238, United States

    DENVER, CO 802382624

    Phone: (303) 403-6333

    Fax: (303) 403-6325

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($34).

Total Amount

$63

General + Research + Ownership

Payments

3

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121218000459IObstetrics/GynecologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840513552View full group profile
NameSpecialtyState
-CA
-CO
Physician AssistantCO
Hospitalist, Family PracticeCO
-CO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
-CO
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does KATHLEEN MARIE RUSTICI (M.D.) have a public NPI I can cite?
Public records show KATHLEEN MARIE RUSTICI (M.D.) under NPI 1003089293.
Is KATHLEEN MARIE RUSTICI (M.D.)'s NPI status active today?
Active status means KATHLEEN MARIE RUSTICI (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret KATHLEEN MARIE RUSTICI (M.D.)'s specialty?
The extract shows Obstetrics & Gynecology Physician for KATHLEEN MARIE RUSTICI (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to KATHLEEN MARIE RUSTICI (M.D.)?
KATHLEEN MARIE RUSTICI (M.D.) shows a connection to Aurora, Colorado in registry-derived data.
Who maintains KATHLEEN MARIE RUSTICI (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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