Individual provider Active NPI

Larry M Bush, M.D.

  • Infectious Disease Physician
  • Atlantis, FL
National Provider Identifier
1689657090
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0055230 Issued in FL
Practice address
5401 S Congress Ave Ste 201
Atlantis, FL 33462-6637
Phone
(561) 967-0101
Fax
(561) 967-6260
NPI assigned
Nov 21, 2005
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0055230 FL Primary

Addresses

Primary practice location

5401 S Congress Ave Ste 201
Atlantis, FL 33462-6637

Mailing address

5401 S Congress Ave Ste 201
Atlantis, FL 33462-6637
Phone (561) 967-0101

Other identifiers 1

IdentifierTypeStateIssuer
036606400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041129000447 FL Practitioner - Infectious Disease 3173588456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Medical College of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Infectious Diseases LLCGroup PAC ID 4284797663, 2 clinicians

Practice addresses (Care Compare)

5401 S Congress Ave
Suite 201
Atlantis, FL 33462-6637
Phone 5619670101109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055230FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Infectious Diseases LLC Infectious Disease CurrentSince Dec 5, 2008 Accepting new patients
Travel Medicine & Infectious Diseases of the Palm Beaches LLC Infectious Disease Past Accepting new patients
Barry Abrams MD PA Infectious Disease Past Accepting new patients

Locations

5503 S Congress Ave
Ste 104
Atlantis, FL 33462
Phone (561) 967-0101

5401 S Congress Ave
Ste 201
Lake Worth, FL 33462
Phone (561) 967-0101

Organizations & group practices 3

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 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1689657090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 201",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-967-0101",
            "fax_number": "561-967-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 201",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-967-0101",
            "fax_number": "561-967-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "LARRY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0055230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036606400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.