ALOK RUSTOGI (NPI# 1730116575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730116575 |
| Entity Type | Individual |
| Full Name | ALOK RUSTOGI |
| Credential | MD |
| Practice Address |
46090 Lake Center Plz 201 Potomac Falls VA 20165-5876 |
| Practice Telephone | 7034890508 |
| Mailing Telephone | 7034890508 |
| Mailing Fax Number | 7034681061 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
0101236706 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00382573 | 01 | |
| VA | ANTHEM BC | 206438 | 01 |
| VA | 10270880 | 05 |
| Street Address |
46090 LAKE CENTER PLZ 201 |
| City | POTOMAC FALLS |
| State | VA |
| Zip Code | 20165-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669931069 | Ifeoma Elizabeth Ilodianya | Nurse Practitioner | 46090 Lake Center Plz, Potomac Falls, VA 20165-5876 | 2019-03-15 |
| 1922272962 | Dr. Amear M. Tadros, Dmd, PC | Dentist | 46090 Lake Center Plz, Suite 202, Potomac Falls, VA 20165-5876 | 2008-04-22 |
| 1114198033 | Sanjeev M. Wasan, M.d., Plc | Specialist | 46090 Lake Center Plz, Suite 201, Potomac Falls, VA 20165-5876 | 2008-03-19 |
| 1679599484 | Amear Mahrous Tadros | Dentist | 46090 Lake Center Plz, Suite 202, Potomac Falls, VA 20165-5876 | 2006-07-14 |
| 1669403051 | Internal Medicine Practice Associates PC | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659552156 | Olumuyiwa Ojediran, M.d P.c | Internal Medicine | 734 S Sycamore St, Petersburg, VA 23803-5817 | 2007-11-26 |
| 1376760140 | Richard Homer Bright | Internal Medicine | 94 Longview Cir, Fishersville, VA 22939-2004 | 2007-04-20 |
| 1881795557 | Bon Secours Memorial Regional Medical Center LLC | Internal Medicine | 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060-3452 | 2006-09-26 |
| 1306802426 | Martha A. Griswold | Internal Medicine | 173 Waterfront Dr, Colonial Heights, VA 23834-2181 | 2006-04-26 |
| 1043549561 | Hampton Roads Hospitalist Group | Internal Medicine | 3636 High St, Portsmouth, VA 23707-3236 | 2009-12-11 |
| 1700042231 | Michael Tobeh Kometa | Internal Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2008-08-04 |
| 1487867958 | Kaveh Ofogh | Internal Medicine | 301 Concourse Blvd, Suite# 210, Glen Allen, VA 23059 | 2007-05-08 |
| 1942364617 | Centre Pointe Health Specialties | Internal Medicine | 3920 Plank Rd, 120, Fredericksburg, VA 22407-7104 | 2006-12-20 |
| 1487712394 | Nushin F Todd | Internal Medicine | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-04 |
| 1265513238 | Jeffrey B Conklin | Internal Medicine | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | POTOMAC FALLS |
| Zip Code | 20165 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.