Individual provider Active NPI

Christina Marie Busuito, M.D.

  • Surgery Physician
  • Troy, MI
National Provider Identifier
1528354206
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301099086 Issued in MI
Practice address
1080 Kirts Blvd Ste 700
Troy, MI 48084-4853
Phone
(248) 362-2300
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301099086 MI Primary

Addresses

Primary practice location

1080 Kirts Blvd Ste 700
Troy, MI 48084-4853

Mailing address

1080 Kirts Blvd Ste 700
Troy, MI 48084-4853
Phone (248) 362-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180619003649 MI Practitioner - Plastic and Reconstructive Surgery 0941502587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Busuito MD PCGroup PAC ID 9739262148, 2 clinicians

Practice addresses (Care Compare)

1080 Kirts Blvd
Suite 700
Troy, MI 48084-4853
Phone (248) 362-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Melanoma (skin cancer) excision13
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099086MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Busuito MD PC CurrentSince Jun 13, 2018 Accepting new patients

Locations

1080 Kirts Blvd
Ste 700
Troy, MI 48084
Phone (248) 362-2300

Interoperability endpoints

  • Direct secure messaging: cbusuito1119693@direct.hfhs.org
  • Direct secure messaging: cbusuito@directaddress.net

Organizations & group practices 1

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.

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1528354206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 KIRTS BLVD STE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844853",
            "telephone_number": "248-362-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 KIRTS BLVD STE 700",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844853",
            "telephone_number": "248-362-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSUITO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301099086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.