Active NPI
Hanzy F. Bustamante, MD
- Internal Medicine Physician
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1551
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175955703 | Medicaid | TX | |
| 175955704 | Medicaid | TX | |
| 1759557-02 | Medicaid | TX | |
| 175955706 | Medicaid | TX | |
| 175955701 | Medicaid | TX | |
| 175955705 | Medicaid | TX | |
| 175955707 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050827000065 | TX | Practitioner - Internal Medicine | 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 SetonUsacs Integrated Acute Care Services of Texas, PLLCGulf Coast Physician Services, PLLC
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
- Baptist Medical Center
- Ascension Seton Smithville
- Ascension Seton Medical Center Austin
- Towers Nursing Home
- Austin Wellness & Rehabilitation
- Deer Creek Nursing and Rehabilitation
- Avir at Magnolia
- Avir at Converse
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of North Carolina, PLLC | Internal Medicine | Current | Accepting new patients |
| Ascension Seton | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| South Texas Hospitalist Associates LLC | Hospitalist | Current | Accepting new patients |
| Rehabilitation & Physical Medicine LLC | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Texas PLLC | Hospitalist | Current | Accepting new patients |
| Ascension Seton | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Lonestar Pat Associates PA | Internal Medicine | Current | Accepting new patients |
| Ascension Seton | Current | Accepting new patients | |
| Gulf Coast Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Texas PLLC | Hospitalist | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current | 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
- hanzy.bustamante.3@8363.direct.athenahealth.com
- hbustamante22361@carolinaeastmc.direct-ci.com
- hanzy.bustamante.2@8363.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
Internal Medicine, TX
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
Internal Medicine, TX
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Internal Medicine, TX
-
- Hospitalist Physician
- Odessa, TX
- NPI 1295062198
Hospitalist, TX
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Internal Medicine, TX
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine, TX
-
- Hospitalist Physician
- Round Rock, TX
- NPI 1811594203
Internal Medicine, TX
-
- Physical Medicine & Rehabilitation Physician
- Irving, TX
- NPI 1437470358
TX
-
- Hospitalist Physician
- Uvalde, TX
- NPI 1790045664
Hospitalist, TX
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1437869302
Internal Medicine, NC
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
Hospital
-
- Skilled Nursing Facility
- Austin, TX
- NPI 1356831580
Nursing home
-
- Skilled Nursing Facility
- Converse, TX
- NPI 1669862876
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.