Active NPI
George C Bobustuc, MD
- Neurology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036107297
- Practice address
- 2600 E Martin Luther King Jr Blvd
Austin, TX 78702-1449 - Phone
- (512) 505-5500
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 56643 | WI | |
| Neurology Physician | 2084N0400X | 56643 | WI | |
| Neurology Physician | 2084N0400X | K8716 | TX | |
| Neurology Physician | 2084N0400X | 036107297 | IL | Primary |
Addresses
Primary practice location
2600 E Martin Luther King Jr Blvd
Austin, TX 78702-1449
Mailing address
9715 Burnet Rd BLDG 7
Ste.200
Austin, TX 78758-5215
Phone (512) 505-5500
Other practice location 1
2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271397700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000
Hospital & facility affiliations
- Northwest Community Hospital 1
- Northshore University Healthsystem - Evanston Hospital
- Swedish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107297 | IL | MD | Neurology Physician |
| K8716 | TX | MD | Neurology Physician |
| 56643 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Medical Specialists, PLLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central Texas Medical Specialists PLLC | Medical Oncology | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2600 E Mlk Blvd
Austin, TX 78702
Phone (512) 334-2600
1400 N Interstate 35
Austin, TX 78701
Phone (512) 324-8565
9715 Burnet Rd
Ste 200
Austin, TX 78758
Phone (512) 334-2866
3201 S Austin Ave
Ste 315
Georgetown, TX 78626
Phone (512) 302-1210
Interoperability endpoints
- gbobustuc43159@direct.myadvocateaurora.org
- gbobustuc148971@direct.nch.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Radiation Oncology Physician
- Austin, TX
- NPI 1821069014
Medical Oncology
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1871945691
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1790760676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 BURNET RD BLDG 7",
"address_2": "STE.200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585215",
"telephone_number": "512-505-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E MARTIN LUTHER KING JR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787021449",
"telephone_number": "512-505-5500"
}
],
"practiceLocations": [
{
"address_1": "2650 Ridge Ave",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602011700",
"country_code": "US",
"telephone_number": "847-570-2112",
"fax_number": "847-570-1041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOBUSTUC",
"first_name": "GEORGE",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WI",
"license": "56643",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "56643",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "K8716",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036107297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271397700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.