DAVID H RUSTOM (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1073877320

DAVID H RUSTOM (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 4301101540 (MI). The NPI Number for DAVID H RUSTOM (M.D.) is 1073877320

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID H RUSTOM (M.D.)
NPI
1073877320
Phone
(313) 966-3250
Address
6071 W Outer Dr
Enumeration Date
2 July 2012
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
5890915193
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20141009000788
Address ID
MI482012153DE4201XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for DAVID H RUSTOM (M.D.)

  • 6071 W Outer Dr

    Detroit, MI 482352624

    Phone: (313) 966-3250

    Fax: (313) 966-1738

    Type: Location

  • 261 MACK AVE

    SUITE 188

    DETROIT, MI 48201

    Phone: (313) 745-4600

    Fax: (313) 745-1165

    Type: Mailing

  • 261 MACK AVE STE 188

    DETROIT, MI 482012417

    Phone: (313) 745-4600

    Fax: (313) 745-1165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $4,215.

Total Amount is formed as General ($4,215) + Research ($0) + Ownership ($0) = $4,215.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Nalu Medical, Inc. ($1,753).

Total Amount

$4,215

General + Research + Ownership

Payments

54

Total payment records

General Amount

$4,215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2014-10-09

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
I20141009000788IPhysical Medicine And RehabilitationMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes381128$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance1411$0
View full utilization report →

Insurance plans in this area (ZIP 48235)

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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: 8921289760View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Does DAVID H RUSTOM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DAVID H RUSTOM (M.D.) uses 1073877320.
Is DAVID H RUSTOM (M.D.) listed as active for patients and plans?
The listing shows DAVID H RUSTOM (M.D.) as active in the NPI system.
What taxonomy line describes DAVID H RUSTOM (M.D.)?
For research purposes, treat DAVID H RUSTOM (M.D.) as Pain Medicine (Physical Medicine & Rehabilitation) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID H RUSTOM (M.D.) on a map?
Expect Detroit, Michigan as a primary anchor for DAVID H RUSTOM (M.D.) unless the record lists multiple sites.
Is the information about DAVID H RUSTOM (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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