Avida Nubia Bussell, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

125.05539 Issued in IL

Practice address

433 W 95TH St
Chicago, IL 60628-1155

Phone

(312) 488-0040

Fax

(708) 719-2922

NPI assigned

Jul 27, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pearls of Veda Medical and Holistic

  • General Practice Physician
  • Chicago, IL
  • NPI 1730823162
  Medicare reassignment NPD Authorized official
• Advocate Health and Hospitals Corporation

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  IL

  Medicare reassignment NPD
• Veda Medical and Consulting Research

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1770243412

  Emergency Medicine

  NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Advocate Health & Hospitals Corporation

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
  • NPI 1912936014
  NPD
• Advocate Health and Hospitals Corporation

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Inphynet Primary Care Physicians Midwest, S.C.

  • Physician Assistant
  • Fort Wayne, IN
  • NPI 1528090610

  Emergency Medicine

  NPD (past)
• Maple City Emergency Physicians, LLP

  • Emergency Medicine Physician
  • La Porte, IN
  • NPI 1275558942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1235360165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22615 HUNTERS TRL",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236001",
            "telephone_number": "773-981-8609",
            "fax_number": "708-719-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281155",
            "telephone_number": "312-488-0040",
            "fax_number": "708-719-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Lincolnway",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503201",
            "country_code": "US",
            "telephone_number": "219-326-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17495 La Grange Rd",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604877581",
            "country_code": "US",
            "telephone_number": "708-226-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 E 44th St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174100",
            "country_code": "US",
            "telephone_number": "888-688-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSSELL",
        "first_name": "AVIDA",
        "middle_name": "NUBIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125.05539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi Buss, LCSW
• Maria Paola Cruz Buss
• Teresa Rose Buss, BCBA
• Brett T Bussan
• Marion Helga Bussay, M.D.
• Jennifer Busser, DPM
• Celishia Monique Bussey, LCPC, NCC
• Kylie Elizabeth Bussie, MD
• Parker Lloyd Bussies
• Dana Collins Bussing, M.D.

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.