Individual provider Active NPI

Hanzy F. Bustamante, MD

  • Internal Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1508828641
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1551 Issued in TX
Practice address
1401 Medical Pkwy
BLDG B., #220
Cedar Park, TX 78613-7763
Phone
(512) 324-4083
Fax
(512) 419-9016
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22429 NV
Internal Medicine Physician 207R00000X 13166411-1205 UT
Hospitalist Physician 208M00000X M1551 TX
Internal Medicine Physician 207R00000X M1551 TX Primary

Addresses

Primary practice location

1401 Medical Pkwy
BLDG B., #220
Cedar Park, TX 78613-7763

Mailing address

PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686

Other identifiers 7

IdentifierTypeStateIssuer
175955703MedicaidTX
175955704MedicaidTX
1759557-02MedicaidTX
175955706MedicaidTX
175955701MedicaidTX
175955705MedicaidTX
175955707MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050827000065 TX Practitioner - Internal MedicinePractitioner - Hospitalist 5496786691 Reassigns benefits to 10 organizations
I20240327002320 NC Practitioner - Internal Medicine 5496786691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians

Practice addresses (Care Compare)

1201 A Hill Rd
Smithville, TX 78957-9533
Phone (512) 360-3698

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1205 Central Texas Expy
Lampasas, TX 76550-3388
Phone (512) 556-5362

130 Hays St
Luling, TX 78648-3207

200 John W Hoover Pkwy
Burnet, TX 78611-4560

200 John W Hoover Pkwy
BLDG 1
Burnet, TX 78611-4561
Phone (512) 715-3046

200 Roy Rivers Rd
Elgin, TX 78621-2072
Phone (737) 200-6400

209 S Church St
Suite Aandb
Lockhart, TX 78644-2713
Phone (512) 376-2999

249 Sportsplex Dr
Dripping Springs, TX 78620-2348
Phone (512) 324-9570

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

300 S Colorado St
Lockhart, TX 78644-2700
Phone (512) 738-0625

300 S Commerce St
Lockhart, TX 78644-2887
Phone (512) 398-2331

3201 S Water St
Burnet, TX 78611-4510
Phone (512) 715-3360

525 Ranch Rd
Kingsland, TX 78639-6000
Phone (325) 388-6912

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

630 Hwy 71 W
Bastrop, TX 78602-4234
Phone (512) 304-0313

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (210) 297-5650

PO Box
Suite 1219
Burnet, TX 78611

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Ascension Seton Smithville Hospital, Smithville, TX, CCN 671304
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Towers Nursing Home Nursing home, Smithville, TX, CCN 675942
  • Austin Wellness & Rehabilitation Nursing home, Austin, TX, CCN 455799
  • Deer Creek Nursing and Rehabilitation Nursing home, Wimberley, TX, CCN 455917
  • Avir at Magnolia Nursing home, Luling, TX, CCN 676044
  • Avir at Converse Nursing home, Converse, TX, CCN 675452

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of North Carolina, PLLC Internal Medicine CurrentSince Mar 6, 2024 Accepting new patients
Ascension Seton Internal Medicine Current Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
South Texas Hospitalist Associates LLC Hospitalist CurrentSince Aug 9, 2020 Accepting new patients
Rehabilitation & Physical Medicine LLC CurrentSince Oct 23, 2025 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Apr 11, 2022 Accepting new patients
Ascension Seton Internal Medicine CurrentSince Oct 17, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2017 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Ascension Seton CurrentSince Oct 17, 2023 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Apr 11, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince Sep 25, 2024 Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
McCulloch County Hospital District Past Accepting new patients
Victoria Emergency Associates LLC Past Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Smithville Hospital Authority Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Austin Regional Clinic, PA Past Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations (25 of 40)

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1401 Medical Pkwy
Ste 220
Cedar Park, TX 78613
Phone (512) 260-1581

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

300 S Colorado St
Ste D
Lockhart, TX 78644
Phone (512) 376-2999

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

Interoperability endpoints

  • Direct secure messaging: hanzy.bustamante.3@8363.direct.athenahealth.com
  • Direct secure messaging: hbustamante22361@carolinaeastmc.direct-ci.com
  • Direct secure messaging: hanzy.bustamante.2@8363.direct.athenahealth.com
  • Direct secure messaging: hanzy.bustamante.1@8363.direct.athenahealth.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 10

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1508828641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26726",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787550726",
            "telephone_number": "512-407-8686",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY",
            "address_2": "BLDG B., #220",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137763",
            "telephone_number": "512-324-4083",
            "fax_number": "512-419-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "HANZY",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "22429",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "13166411-1205",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M1551",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175955703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175955704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1759557-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175955706",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175955701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175955705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175955707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.