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

Rustin Ronald Ross, MD

Individual provider Dermatology Physician · NPI 1164631461

Rustin Ronald Ross, MD is a Dermatology in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2003, 23 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

389 S 900 E
Salt Lake City, UT 84102
Phone: (385) 282-2000
Fax: (385) 282-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 373233-1205 (UT)

Record details

NPI number1164631461
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESDecember 5, 2012

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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