Individual provider Active NPI

Jonas Guinto Bustos, MD

  • Surgery Physician
  • Herington, KS
National Provider Identifier
1386608628
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0416653 Issued in KS
Practice address
1005 North B St
Herington, KS 67449
Phone
(785) 258-3705
Fax
(785) 258-3706
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0416653 KS
Surgery Physician 208600000X 0416653 KS Primary

Addresses

Primary practice location

1005 North B St
Herington, KS 67449

Mailing address

4600 College Blvd
Ste 103
Overland Park, KS 66211-1606
Phone (913) 215-5008

Other identifiers 3

IdentifierTypeStateIssuer
100000370AMedicaidKS
828013454OtherMEDICARE TRAVELERS
001312OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050324000473 KS Practitioner - General Surgery 7618923491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0416653KSMDGeneral Practice Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386608628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 COLLEGE BLVD",
            "address_2": "STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111606",
            "telephone_number": "913-215-5008",
            "fax_number": "913-297-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NORTH B ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "67449",
            "telephone_number": "785-258-3705",
            "fax_number": "785-258-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "JONAS",
        "middle_name": "GUINTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "0416653",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0416653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000370A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "828013454",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herington, KS

Sources for this page

Verify at the official NPI Registry.