Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rachid Elkoustaf, MD

Individual provider Nuclear Cardiology Physician · NPI 1790865764

Dr. Rachid Elkoustaf, MD is an Internal Medicine in Kingston, New York. Graduated from University of Rochester School of Medicine and Dentistry in 2000, 26 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Minnesota and New York.

Years since qualifying
26
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
MN, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

111 Marys Ave Ste 3
Kingston, NY 12401-5852
Phone: (845) 339-3663
Fax: (845) 339-3629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 102692 (MN)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 244744 (NY)

Record details

NPI number1790865764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESDecember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2000 (26 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare