EVAN MICHAEL RUSH (MD) – Nuclear Radiology Physician, NPI 1104483973

EVAN MICHAEL RUSH (MD) is a healthcare provider. based in Muncie, Indiana. specializing in INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials MD. They hold a License No. 35.141058 (OH). The NPI Number for EVAN MICHAEL RUSH (MD) is 1104483973

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
EVAN MICHAEL RUSH (MD)
NPI
1104483973
Phone
Not provided
Address
2401 W UNIVERSITY AVE
Enumeration Date
28 May 2019
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6147222350
Graduation Year
2019 (7 years ago)
PAC ID
2365777679
Group Practice PAC ID
8921068149
Professional Enrollment ID
I20250709000993
Address ID
OH432052664CO700XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

137 INTERVENTIONAL RADIOLOGY in IN

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Provider Addresses for EVAN MICHAEL RUSH (MD)

  • 2401, West University Avenue, Muncie, Delaware County, Indiana, 47303, United States

    MUNCIE, IN 473033428

    Phone:

    Type: Mailing

  • 2401 W University Ave

    Muncie, IN 473033428

    Phone: (765) 747-3111

    Type: Location

  • 2213 Cherry St

    Toledo, OH 436082603

    Phone: (419) 251-7960

    Type: Location

  • 455 Executive Campus Dr

    Westerville, OH 430828870

    Phone: (614) 722-2000

    Type: Location

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-09

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
I20250709000993IInterventional RadiologyOHTBD

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 47303)

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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: 8921068149View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Nurse PractitionerOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH

Reviews

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Frequently asked questions

Can I cross-check EVAN MICHAEL RUSH (MD) using NPI 1104483973?
NPI 1104483973 belongs to EVAN MICHAEL RUSH (MD); compare other details if you need extra assurance.
Active or inactive — what applies to EVAN MICHAEL RUSH (MD)?
You should see EVAN MICHAEL RUSH (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to EVAN MICHAEL RUSH (MD)?
EVAN MICHAEL RUSH (MD)'s specialty line reads Nuclear Radiology Physician. Clinical services aligned with this taxonomy classification.
Is EVAN MICHAEL RUSH (MD) associated with Muncie?
Public fields place EVAN MICHAEL RUSH (MD) around Muncie, Indiana. Always confirm the exact site before visiting.
Does EVAN MICHAEL RUSH (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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