Individual provider Active NPI

Benjamin A Busch, DO

  • Sports Medicine (Emergency Medicine) Physician
  • Arvada, CO
National Provider Identifier
1295778157
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
49644 Issued in CO
Practice address
12001 W 63Rd PL Ste 201
Arvada, CO 80004-4034
Phone
(303) 565-8483
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 49644 CO
Pulmonary Disease Physician 207RP1001X 49644 CO
Clinical Genetics (M.D.) Physician 207SG0201X 49644 CO
Allergy & Immunology Physician 207K00000X 49644 CO
Cardiovascular Disease Physician 207RC0000X 49644 CO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 49644 CO
Sports Medicine (Emergency Medicine) Physician 207PS0010X 49644 CO Primary
Integrative Medicine Physician 202D00000X 49644 CO
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 49644 CO
Plastic Surgery Physician 208200000X 49644 CO
Medical Toxicology (Preventive Medicine) Physician 2083T0002X 49644 CO
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301X 49644 CO
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X 49644 CO
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 49644 CO

Addresses

Primary practice location

12001 W 63Rd PL Ste 201
Arvada, CO 80004-4034

Mailing address

12001 W 63Rd PL Ste 201
Arvada, CO 80004-4034
Phone (303) 565-8483

Other identifiers 3

IdentifierTypeStateIssuer
021891OtherCOKAISER COMMERCIAL NUMBER
2606406MedicaidOH
53888031MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000631 CO Practitioner - Emergency Medicine 9335166339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
49644COMDBrain Injury Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Vivewell PLLC Integrative Medicine CurrentSince Feb 11, 2024 Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
New York Westchester SQ Med Ctr Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Avista Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Guernsey County, LTD Emergency Medicine Past Accepting new patients

Locations

12001 W 63rd Pl
Ste 201
Arvada, CO 80004
Phone (303) 565-8483

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1295778157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 W 63RD PL STE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044034",
            "telephone_number": "303-565-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 W 63RD PL STE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044034",
            "telephone_number": "303-565-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CO",
            "license": "49644",
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "CO",
            "license": "49644",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "49644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "021891",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2606406",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53888031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.