Active NPI
Doris V Pablo-Bustos, M.D.
- Internal Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD30307
- Practice address
- 1140 Varnum St NE PMB 202
Washington, DC 20017-2151 - Phone
- (202) 269-6430
- Fax
- (202) 269-6598
- NPI assigned
- Sep 5, 2006
- Last updated
- Oct 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0101056019 | VA | |
| Primary Care Clinic/Center | 261QP2300X | MD30307 | DC | |
| Exclusive Provider Organization | 302F00000X | D0058776 | MD | |
| Exclusive Provider Organization | 302F00000X | MD30307 | DC | |
| Exclusive Provider Organization | 302F00000X | 0101056019 | VA | |
| Health Maintenance Organization | 302R00000X | MD30307 | DC | |
| Health Maintenance Organization | 302R00000X | 0101056019 | VA | |
| Health Maintenance Organization | 302R00000X | D0058776 | MD | |
| Preferred Provider Organization | 305R00000X | 0101056019 | VA | |
| Preferred Provider Organization | 305R00000X | MD30307 | DC | |
| Preferred Provider Organization | 305R00000X | D0058776 | MD | |
| Point of Service | 305S00000X | MD30307 | DC | |
| Point of Service | 305S00000X | 0101056019 | VA | |
| Point of Service | 305S00000X | D0058776 | MD | |
| Internal Medicine Physician | 207R00000X | MD30307 | DC | Primary |
Addresses
Primary practice location
1140 Varnum St NE PMB 202
Washington, DC 20017-2151
Mailing address
1140 Varnum St NE PMB 202
Washington, DC 20017-2151
Phone (202) 269-6430
Other practice location 1
6408 Seven Corners Place Ste C
Falls Church, VA 22044-2011
Phone (703) 237-1197
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050883700 | Medicaid | DC | |
| 510223500 | Medicaid | MD | |
| F811-0001 | Other | VA | CAREFIRST BCBS |
| 033872900 | Medicaid | DC |
Other names 1
- Doris Pablo-Bustos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6408 Seven Corners PL
Suite C
Falls Church, VA 22044-2011
Phone (703) 237-1197
Hospital & facility affiliations
- Amedisys Home Health
- Amedisys Home Health Care
- Medstar Health Home Care
- Americare in Home Nursing
- Centerwell Home Health
- Medstar Washington Hospital Center
- Virginia Hospital Center
- Medstar Georgetown University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 25 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 83.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30307 | DC | MD | Primary Care Clinic/Center |
| D0058776 | MD | MD | Health Maintenance Organization |
| 0101056019 | VA | MD | Point of Service |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doris Pablo-Bustos, MD PC | Internal Medicine | Current | Accepting new patients |
| Bustos Associates LLC | Primary Care | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1140 Varnum St NE
Ste 105
Washington, DC 20017
Phone (202) 269-6430
1140 Varnum St NE
Ste 202
Washington, DC 20017
Phone (202) 269-6430
6408 Seven Corners Pl
Ste C
Falls Church, VA 22044
Phone (703) 237-1197
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1659553253
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health
- Home Health Agency
- Washington, DC
- NPI 1669426730
-
dba Georgetown University Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
-
dba Amedisys Home Health Care
- Home Health Agency
- Largo, MD
- NPI 1831143908
-
dba CenterWell Home Health
- Home Health Agency
- Columbia, MD
- NPI 1922035880
-
dba MedStar Health Home Care
- Home Health Agency
- Greenbelt, MD
- NPI 1154437879
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1275635559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 VARNUM ST NE PMB 202",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172151",
"telephone_number": "202-269-6430",
"fax_number": "202-269-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 VARNUM ST NE PMB 202",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172151",
"telephone_number": "202-269-6430",
"fax_number": "202-269-6598"
}
],
"practiceLocations": [
{
"address_1": "6408 Seven Corners Place Ste C",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220442011",
"country_code": "US",
"telephone_number": "703-237-1197",
"fax_number": "202-269-6598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PABLO-BUSTOS",
"first_name": "DORIS",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "VA",
"license": "0101056019",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "DC",
"license": "MD30307",
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MD",
"license": "D0058776",
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "DC",
"license": "MD30307",
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "VA",
"license": "0101056019",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "DC",
"license": "MD30307",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "VA",
"license": "0101056019",
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "MD",
"license": "D0058776",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "VA",
"license": "0101056019",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "DC",
"license": "MD30307",
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "MD",
"license": "D0058776",
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "DC",
"license": "MD30307",
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "VA",
"license": "0101056019",
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MD",
"license": "D0058776",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD30307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050883700",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "510223500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "F811-0001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033872900",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DORIS",
"last_name": "PABLO-BUSTOS",
"credential": "MD PC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.