Active NPI
Agustin Busta, MD
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 195814
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02148974 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428000255 | NY | Practitioner - Endocrinology | 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 PC
Practice addresses (Care Compare)
110 E 58TH St
New York, NY 10022-1304
Phone (212) 434-3420
Hospital & facility affiliations
- Lenox Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 195814 | NY | MD | Internal Medicine Physician |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1063881787
Internal Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1568868834
Internal Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1861457202
Internal Medicine
-
- Neurology Physician
- New York, NY
- NPI 1891848461
-
- Internal Medicine Physician
- New York, NY
- NPI 1427095652
Internal Medicine
-
- Family Medicine Physician
- New York, NY
- NPI 1396780581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.