Individual provider Active NPI

Elwin G Bustos, MD

  • Nephrology Physician
  • Washington, DC
National Provider Identifier
1467543686
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD19909 Issued in DC
Practice address
1140 Varnum St NE Ste 202
Washington, DC 20017-2153
Phone
(202) 269-6430
Fax
(202) 269-6598
NPI assigned
Sep 27, 2006
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0101048655 VA
Health Maintenance Organization 302R00000X MD19909 DC
Primary Care Clinic/Center 261QP2300X MD19909 DC
Point of Service 305S00000X MD19909 DC
Preferred Provider Organization 305R00000X MD19909 DC
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MD19909 DC Primary
Health Maintenance Organization 302R00000X 0101048655 VA
Preferred Provider Organization 305R00000X D0042936 MD

Addresses

Primary practice location

1140 Varnum St NE Ste 202
Washington, DC 20017-2153

Mailing address

1140 Varnum St NE Ste 202
Washington, DC 20017-2153
Phone (202) 269-6430

Other practice location 1

6408 Seven Corners Pl Ste C
Falls Church, VA 22044-2011
Phone (202) 269-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100113000295 DC Practitioner - NephrologyPractitioner - Internal Medicine 7517008584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bustos and AssociatesGroup PAC ID 3274627633, 3 clinicians

Practice addresses (Care Compare)

1140 Varnum St NE
PMB 105
Washington, DC 20017-2151

1140 Varnum St NE PMB
Suite 202
Washington, DC 20017-2151
Phone (202) 269-6430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19909DCMDPrimary Care Clinic/Center
D0042936MDMDPreferred Provider Organization
0101048655VAMDPreferred Provider Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Doris Pablo-Bustos, MD PC Specialist Current Accepting new patients
Bustos Associates LLC Specialist CurrentSince Aug 17, 2017 Accepting new patients
M. S. Zonozi, MD Single Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1140 Varnum St NE
Ste 105
Washington, DC 20017
Phone (202) 269-6430

1140 Varnum St NE
Ste 202
Washington, DC 20017
Phone (202) 269-6430

6408 Seven Corners Pl
Ste C
Falls Church, VA 22044
Phone (703) 237-1197

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1467543686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-269-6430",
            "fax_number": "202-269-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 VARNUM ST NE STE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172153",
            "telephone_number": "202-269-6430",
            "fax_number": "202-269-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6408 Seven Corners Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220442011",
            "country_code": "US",
            "telephone_number": "202-269-6430",
            "fax_number": "202-269-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "ELWIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0101048655",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "DC",
            "license": "MD19909",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DC",
            "license": "MD19909",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "DC",
            "license": "MD19909",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "DC",
            "license": "MD19909",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "MD19909",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0101048655",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MD",
            "license": "D0042936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.