Individual provider Active NPI

Michael J Busuito, M.D.

  • Plastic Surgery Physician
  • Troy, MI
National Provider Identifier
1427080407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MB045001 Issued in MI
Practice address
1080 Kirts Blvd
Suite 700
Troy, MI 48084-4881
Phone
(248) 362-2300
Fax
(248) 362-5272
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MB045001 MI Primary

Addresses

Primary practice location

1080 Kirts Blvd
Suite 700
Troy, MI 48084-4881

Mailing address

1080 Kirts Blvd
Suite 700
Troy, MI 48084-4881
Phone (248) 362-2300

Other identifiers 3

IdentifierTypeStateIssuer
4367747OtherMIAETNA
P41079OtherMIBLUE CARE NETWORK
2406342301OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080208000066 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 9537268388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Busuito MD PCGroup PAC ID 9739262148, 2 clinicians

Practice addresses (Care Compare)

1080 Kirts Blvd
Troy, MI 48084-4853
Phone (248) 362-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision39
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB045001MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Nov 1, 2023 Accepting new patients
Michael J Busuito MD PC CurrentSince Jun 16, 1988 Accepting new patients

Locations

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

1080 Kirts Blvd
Ste 700
Troy, MI 48084
Phone (248) 362-2300

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: mbusuito@direct.dmc.org
  • Direct secure messaging: mbusuito1119696@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427080407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 KIRTS BLVD",
            "address_2": "SUITE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844881",
            "telephone_number": "248-362-2300",
            "fax_number": "248-362-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 KIRTS BLVD",
            "address_2": "SUITE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844881",
            "telephone_number": "248-362-2300",
            "fax_number": "248-362-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSUITO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "MB045001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4367747",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P41079",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2406342301",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.