Doctor profile · Federal record
Dr. Sheila Rustgi
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · New York, NY
- NPI 1174940407
- Accepts Medicare
- MIPS 93.4 / 100 · 2023
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
161 Fort Washington Ave
New York, NY 100323729
(212) 851-4764 - Mailing address
-
630 W 168Th St # 4
New York, NY 100323725
Credentials & registration
- NPI registered
- March 2014 — 12 yrs on file
- Profile last updated
- July 23, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New York #282527
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174940407. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
226
Distinct HCPCS
8
Medicare allowed
$42,724
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 75 | 59 | $148 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $189 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 24 | 24 | $435 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $149 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | 18 | $105 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 16 | 16 | $185 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 13 | 11 | $206 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $131 |
In context: peer comparison
Among 165 peers in this city , average services per provider: 69. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$1,255
Transactions
48
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 22 | $414.97 | |
| ABBVIE INC. | 12 | $237.67 | |
| Regeneron Healthcare Solutions, Inc. | 1 | $145.11 | |
| Janssen Scientific Affairs, LLC | 1 | $124.96 | |
| GENZYME CORPORATION | 1 | $115.00 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $105.91 | |
| Madrigal Pharmaceuticals | 2 | $51.37 | |
| Janssen Biotech, Inc. | 1 | $29.66 | |
| IRONWOOD PHARMACEUTICALS, INC | 1 | $15.28 | |
| Phathom Pharmaceuticals, Inc. | 1 | $15.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
276
Patients
139
Total drug cost
$71,094
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 47 | 18 | $631 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 41 | 41 | $3,275 |
| Pantoprazole Sodium | Generic | 38 | 14 | $448 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 38 | 38 | $802 |
| Linzess (Linaclotide) | Brand | 33 | 0 | $22,002 |
| Famotidine | Generic | 17 | 0 | $221 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 16 | 15 | $266 |
| Xifaxan (Rifaximin) | Brand | 16 | 13 | $38,579 |
| Dicyclomine Hcl | Generic | 15 | 0 | $234 |
| Lubiprostone | Generic | 15 | 0 | $4,637 |
Hospital affiliations
Frequently asked questions
What is Dr. Sheila Rustgi's medical specialty?
Dr. Sheila Rustgi practices Gastroenterology Physician in New York, NY.
Where does Dr. Sheila Rustgi practice?
Dr. Sheila Rustgi practices at 161 Fort Washington Ave, New York, NY 100323729. Office phone: 2128514764.
What is Dr. Sheila Rustgi's NPI?
Dr. Sheila Rustgi's National Provider Identifier (NPI) is 1174940407, issued by NPPES.
Does Dr. Sheila Rustgi accept Medicare assignment?
Yes. Dr. Sheila Rustgi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sheila Rustgi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.