LAERT RUSHA (M.D.) – Pain Medicine Physician, NPI 1013301381

LAERT RUSHA (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. MD17009 (RI). The NPI Number for LAERT RUSHA (M.D.) is 1013301381

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LAERT RUSHA (M.D.)
NPI
1013301381
Phone
(401) 444-6779
Address
117 ELLENFIELD ST STE 101
Enumeration Date
25 March 2015
Last Update Date
8 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014443777
Graduation Year
2015 (11 years ago)
PAC ID
1052610078
Group Practice PAC ID
8921900044
Professional Enrollment ID
I20200605001506
Address ID
RI029034923PR593XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14 PAIN MANAGEMENT in RI

Provider Addresses for LAERT RUSHA (M.D.)

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • 11 FRIENDSHIP ST

    NEWPORT, RI 028402209

    Phone: (401) 845-1190

    Fax: (401) 845-1073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $441.

Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Abbott Laboratories ($441).

Total Amount

$441

General + Research + Ownership

Payments

5

Total payment records

General Amount

$441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$441
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: 2020-06-05

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
I20200605001506IPain ManagementRITBD

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
99204New patient office or other outpatient visit, 45-59 minutes8181$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4832$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level4832$0
62323Injection of substance into lower spine canal using imaging guidance3528$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level3426$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 8921900044View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YRI
E N D O C R I N O L O G YRI
-RI
Hematology/Oncology, Internal MedicineRI
Gastroenterology, Pediatric MedicineRI
N E U R O L O G YRI
Internal MedicineRI
-RI
N E U R O L O G YRI
-RI

Reviews

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Frequently asked questions

What identifier follows LAERT RUSHA (M.D.) across health systems?
The NPI 1013301381 uniquely identifies LAERT RUSHA (M.D.) in U.S. healthcare data.
Does the public listing show LAERT RUSHA (M.D.) as active?
LAERT RUSHA (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does LAERT RUSHA (M.D.) provide?
LAERT RUSHA (M.D.)'s profile centers on Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Is LAERT RUSHA (M.D.) tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, LAERT RUSHA (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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