Active NPI
Elwin G Bustos, MD
- Nephrology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD19909
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Physician | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD19909 | DC | MD | Primary Care Clinic/Center |
| D0042936 | MD | MD | Preferred Provider Organization |
| 0101048655 | VA | MD | Preferred Provider Organization |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doris Pablo-Bustos, MD PC | Specialist | Current | Accepting new patients |
| Bustos Associates LLC | Specialist | Current | 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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Kidney Care Northeast D.C.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, DC
- NPI 1740384510
Dialysis facility
-
dba Rai - Chillum - Washington
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, DC
- NPI 1184934200
Dialysis facility
-
dba Advanced Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1508029372
Dialysis facility
-
dba Rai - Chillum - Hyattsville
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hyattsville, MD
- NPI 1164604864
Dialysis facility
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.