Tobin Jay Bushong, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA03483 Issued in TX

Practice address

12835 Gulf Fwy
Houston, TX 77034-4807

Phone

(713) 436-3488

Fax

(713) 436-3860

NPI assigned

Dec 12, 2005

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut Physicians 1,744 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbushong20883@directhoustonmethodist.org

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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821

  TX

  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225

  TX

  Medicare reassignment NPD
• Texas Children'S Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506

  TX

  Medicare reassignment
• Ut Physicians

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1124396585
  Care Compare group
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD
• Tmhpo Orthopedics Department

  • Orthopaedic Trauma Physician
  • Houston, TX
  • NPI 1497795272
  NPD (past)

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

• Memorial Hermann Health System

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1982666111

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1730164831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304509",
            "telephone_number": "713-436-3488",
            "fax_number": "713-436-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344807",
            "telephone_number": "713-436-3488",
            "fax_number": "713-436-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "TOBIN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porsha Bush
• Tamika Cherron Bush, D.O.
• Sita Bushan, MD
• Zeina Bushnaq
• Blair Bellamy Bushong
• Carole Ann Busick, PH.D.
• Samuel Buske
• Lee Buslett
• Lydia Bussell
• Crystal Bussey

• All providers in Houston, TX
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.