DR. AMAL RUSTOM (MD) – Emergency Medicine Physician, NPI 1831190834
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
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Provider Addresses for DR. AMAL RUSTOM (MD)
8010, Stage Hills Boulevard, Bartlett, Shelby County, Tennessee, 38133, United States
BARTLETT, TN 381334032
Phone: (901) 291-2400
Fax: (901) 379-0771
Type: Mailing
Methodist Le Bonheur Germantown Hospital, 7691, Poplar Avenue, Germantown, Shelby County, Tennessee, 38138, United States
GERMANTOWN, TN 381383904
Phone: (901) 516-6970
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: 2004-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040714000851 | I | Emergency Medicine | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 715 | 684 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 499 | 449 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 227 | 220 | $0 |
| 99291 | Critical care, first 30-74 minutes | 112 | 108 | $0 |
| G0168 | Wound closure utilizing tissue adhesive(s) only | 17 | 17 | $0 |
Insurance plans in this area (ZIP 38133)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | TN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine, Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Nurse Practitioner | OH |
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