Edward James Busick Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

40958 Issued in MA

Practice address

20 Hope Avenue
Suite 211
Waltham, MA 02453-2717

Phone

(781) 647-0855

Fax

(781) 647-9142

NPI assigned

Nov 30, 2005

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1467436931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOPE AVENUE",
            "address_2": "SUITE 211",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532717",
            "telephone_number": "781-647-0855",
            "fax_number": "781-647-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVENUE",
            "address_2": "SUITE 211",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532717",
            "telephone_number": "781-647-0855",
            "fax_number": "781-647-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSICK",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "40958",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "40958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052334",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "M09465",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Keith Burke, M.D.
• William Auman Burks
• Kaitlyn Burlone, DPT
• Adrianne Burnham, LCSW
• Amanda A Burns
• Lauren Butler
• Yonas Butler, MA
• Carolyn A Butterworth, MSRDRN
• Jennifer Connors Buxton, OTRL
• Carson Byrne, MA

• Internal Medicine Physician in Waltham, MA
• Providers in Waltham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.