Igor Irvin Bussel, MD

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

A161695 Issued in CA

Practice address

270 Laguna Rd Ste 100
Fullerton, CA 92835-2521

Phone

(714) 525-2375

Fax

(714) 871-9280

NPI assigned

Mar 31, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Chicago College of Medicine and Surgery, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brilliant Eye CenterGroup PAC ID 0345271821, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Brilliant Eye Center

  • Ophthalmology Physician
  • Fullerton, CA
  • NPI 1154440204
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Rheumatology Physician
  • Orange, CA
  • NPI 1487602579

  Ophthalmology

  Medicare reassignment NPD
• Regents of the University of California

  • Ophthalmology Physician
  • Orange, CA
  • NPI 1871541953
  Medicare reassignment NPD
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1699193367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LAGUNA RD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352521",
            "telephone_number": "714-525-2375",
            "fax_number": "714-871-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEL",
        "first_name": "IGOR",
        "middle_name": "IRVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A161695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Burns
• Nevaeh La'Syaa Nicole Burns
• Ruth Burton, LMFT
• Christian Bush
• Paula Annette Bush, MFT
• Hailey P Bustamante
• Itzel Guadalupe Bustamante
• Guillermo Carrera Bustos
• Allison Maureen Buzzetta, OTD, OTR/L
• Breanna Zoe Byl

• Glaucoma Specialist (Ophthalmology) Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Glaucoma Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.

Verify at the official NPI Registry.