Alejandro Bustamante

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0052692 Issued in CO

Practice address

9135 Ridgeline Blvd
Suite #190
Highlands Ranch, CO 80129-2391

Phone

(303) 679-2017

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alejandro Bustamante Professional name

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

Specialty

Family Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alejandro.bustamante.1@14209.direct.athenahealth.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.

• Mednow Clinics, Inc

  • Primary Care Clinic/Center
  • Aurora, CO
  • NPI 1669888764
  Medicare reassignment Care Compare group NPD
• Matthews-Vu Medical Group, P.C.

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1649438433
  Medicare reassignment NPD
• Matthews-Vu Medical Group, P.C.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1245864289
  NPD
• Matthews-Vu Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1528735107
  NPD
• Portercare Adventist Health System

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1316277916
  NPD
• Portercare Adventist Health System

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Mednow Clinics, Inc

  • Family Medicine Physician
  • Thornton, CO
  • NPI 1598507550
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431734400000",
    "number": "1407058142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD",
            "address_2": "SUITE #190",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD",
            "address_2": "SUITE #190",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292391",
            "telephone_number": "303-679-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0052692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRO",
            "last_name": "BUSTAMANTE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristen Burkett, CNTP
• Aimee Burnett, CCC-SLP
• Kimberly Burriesce
• Carrie Delany Busch, FNP
• Angela S Busse, N.P.
• Lisa Renee Butcher, AU.D., CCC-A
• Cindy Kay Butman
• Dayton Butte
• Sarah Byrd
• Michael Alan Cadwallader, D.C

• Family Medicine Physician in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2015; 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.