Jeremy Busch, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5180 Issued in CA

Practice address

3838 Sherman Dr Ste 9
Riverside, CA 92503-4001

Phone

(951) 352-9228

Fax

(951) 352-9357

NPI assigned

May 23, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Foot and Ankle CenterGroup PAC ID 1355628496, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vision Home Health and Hospice Care, Inc Home health agency, Riverside, CA, CCN 058164

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jeremy.busch.p1@direct.dvmg.nextgenshare.com

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.

• Total Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1679011209
  Medicare reassignment Care Compare group NPD Authorized official
• Inland Podiatry Group Inc

  • Podiatrist
  • Riverside, CA
  • NPI 1144317512
  Medicare reassignment NPD Authorized official
• Inland Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Riverside, CA
  • NPI 1962670687
  Medicare reassignment NPD Authorized official
• Desert Valley Medical Group, Inc.

  • Physical Therapist
  • Victorville, CA
  • NPI 1639117864
  Medicare reassignment NPD
• Desert Valley Medical Group, Inc

  • Family Medicine Physician
  • Chino, CA
  • NPI 1588246425
  NPD
• Desert Valley Medical Group, Inc

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1952020315
  NPD
• Desert Valley Hospital, LLC

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  NPD (past)
• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  NPD (past)
• Mukesh Bhavdutt Gupta MD a Professional Corporation

  • Anesthesiology Physician
  • Riverside, CA
  • NPI 1619308061
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vision Home Health Care Inc.

  • Home Health Agency
  • Riverside, CA
  • NPI 1851343826
  Care Compare affiliation

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295095271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DRIVE SUITE 9",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-352-9228",
            "fax_number": "951-352-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR STE 9",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-352-9228",
            "fax_number": "951-352-9357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 N Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917622712",
            "country_code": "US",
            "telephone_number": "909-984-5614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "JEREMY",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA174235",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Burresch
• David Bursalyan-Villegas
• Andrea Denise Burt, LCSW
• Cheyenne Burton
• Taylor Busbee
• Beverly Ann Bush
• Desirae D'Shawn Bush
• Natalie Ariana Bush
• Sharnett Simone Bush, BHS
• Halee Bushman

• Podiatrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.