Individual provider Active NPI

Agustin Busta, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1447248786
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
195814 Issued in NY
Practice address
317 E 17TH St
Fierman Hall 7TH Floor
New York, NY 10003
Phone
(212) 420-4198
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 195814 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 195814 NY Primary

Addresses

Primary practice location

317 E 17TH St
Fierman Hall 7TH Floor
New York, NY 10003

Mailing address

PO Box 95000-2433
Philadelphia, PA 19195-2433
Phone (212) 420-4198

Other identifiers 1

IdentifierTypeStateIssuer
02148974MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040428000255 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 6002803491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

110 E 58TH St
New York, NY 10022-1304
Phone (212) 434-3420

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195814NYMDInternal Medicine Physician

Practice roles (8 of 12)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Jan 8, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients
Beth Israel Medical Center Internal Medicine Past Accepting new patients
New York Downtown Medical Associates Internal Medicine Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

170 William St
Fl 4
New York, NY 10038
Phone (212) 312-5255

110 E 59th St
New York, NY 10022
Phone (212) 583-2800

10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145

170 William St
Fl 7
New York, NY 10038
Phone (212) 238-0100

317 E 17th St
New York, NY 10003
Phone (212) 420-2390

317 E 17th St
Fl 7
New York, NY 10003
Phone (212) 420-3917

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: abusta65382@northwell.direct-ci.com

Organizations & group practices 8

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 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1447248786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-2433",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191952433",
            "telephone_number": "212-420-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 17TH ST",
            "address_2": "FIERMAN HALL 7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTA",
        "first_name": "AGUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "195814",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "195814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02148974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.