MR. ELWIN G BUSTOS (NPI# 1467543686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467543686 |
| Entity Type | Individual |
| Full Name | MR. ELWIN G BUSTOS |
| Other Name | MR. ELWIN G BUSTOS |
| Credential | MD |
| Practice Address |
1160 Varnum St Ne Suite 213 Washington DC 20017 |
| Mailing Address |
918 Helga Place Mc Lean VA 22102 |
| Practice Telephone | 2022696430 |
| Practice Fax Number | 2022696598 |
| Mailing Telephone | 7034488819 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101048655 | VA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
D0042936 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD19909 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ELDER HEALTH | 1059 | 01 | |
| CHARTERED HEALTH PLAN | S10081 | 01 | |
| BCBSHIELD | 44320001 | 01 | |
| EVERCARE MARYLAND | 0401616 | 01 | |
| AMERIGROUP | 96121 | 01 |
| Street Address |
1160 VARNUM ST NE SUITE 213 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975349 | Edward Anthony Rankin | Orthopaedic Surgery | 1160 Varnum St Ne, 312, Washington, DC 20017-2107 | 2005-07-07 |
| 1275150666 | Abena Ameyaa Effah Habia | Social Worker | 1160 Varnum St Ne, Washington, DC 20017-2107 | 2020-07-01 |
| 1669922423 | Brittany Page | Dietitian, Registered | 1160 Varnum St Ne, Depaul 110, Washington, DC 20017-2107 | 2016-10-05 |
| 1396291480 | Selam Zewoldi | Physician Assistant | 1160 Varnum St Ne, St Catherine's Hall, Suite 200, Washington, DC 20017-2107 | 2016-08-29 |
| 1841648292 | Dental Professional Associates LLC | Durable Medical Equipment & Medical Supplies | 1160 Varnum St Ne, #006, Washington, DC 20017-2107 | 2016-05-26 |
| 1124496013 | Phs Internal Medicine Dp311 | Internal Medicine | 1160 Varnum St Ne, Depaul 311, Washington, DC 20017-2107 | 2015-09-09 |
| 1457735029 | Personalized Spine and Pain Care | Clinic/Center | 1160 Varnum St Ne, Suite 212, Washington, DC 20017-2107 | 2015-07-14 |
| 1457730244 | Phs Gen Surg Dp306 | Surgery | 1160 Varnum St Ne, Depaul 306, Washington, DC 20017-2107 | 2015-05-26 |
| 1336532035 | Erin Keehan | Nurse Practitioner | 1160 Varnum St Ne, Suite 100, Washington, DC 20017-2107 | 2015-03-05 |
| 1730571530 | Rachel Merton | Nurse Practitioner | 1160 Varnum St Ne, Suite 312, Washington, DC 20017-2107 | 2015-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1619453388 | Suvi Bhubendra Rasaiah | Internal Medicine | 106 Irving St Nw Ste 201, Washington, DC 20010-2993 | 2018-07-16 |
| 1740691054 | Divya Shankaranarayanan | Internal Medicine | 2150 Pennsylvania Ave Nw Ste 3-438, Washington, DC 20037-3201 | 2014-05-09 |
| 1285075218 | Ziad Alkhouri | Internal Medicine | 730 24th St Nw Ste 17, Washington, DC 20037-2543 | 2013-07-05 |
| 1649478462 | Roopali Gupta | Internal Medicine | 110 Irving St Nw Ste Nw # 2a-70, Washington, DC 20010-2976 | 2007-07-03 |
| 1205045010 | Malcolm C. Cox | Internal Medicine | Of Veterans Affairs Offfice of Academic Affili, 810 Vermont Ave., Nw, Washington, DC 20420-0001 | 2007-05-21 |
| 1881782464 | Stephen Wayne Olson | Internal Medicine | Walter Reed Army Medical Center 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-10-10 |
| 1285731620 | Fred Irwin Polsky | Internal Medicine | 4100 Cathedral Ave Nw, Apt. Ph-16, Washington, DC 20016-3584 | 2006-09-20 |
| 1700807674 | Serban A Dragoi | Internal Medicine | 3800 Reservoir Rd Nw # 6-phc, Washington, DC 20007-2113 | 2006-07-23 |
| 1902835028 | Vascular Access Center of Washington Dc, LLC | Internal Medicine | 1010 Vermont Ave Nw, Suite 300, Washington, DC 20005-4902 | 2006-07-01 |
| 1821042359 | Violet Habwe | Internal Medicine | 730 24th Street Nw, Suite 17, Washington, DC 20037 | 2006-05-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
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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.