Individual provider Active NPI

Andrew J Gusty, MD

  • Internal Medicine Physician
  • Usaf Academy, CO
National Provider Identifier
1790763175
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35501 Issued in AZ
Practice address
4102 Pinion Dr
Andrew James Gusty MD PLLC
Usaf Academy, CO 80840-2502
Phone
(719) 333-5260
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0056133 CO
Hospitalist Physician 208M00000X DR.0056133 CO
Internal Medicine Physician 207R00000X 35501 AZ Primary

Addresses

Primary practice location

4102 Pinion Dr
Andrew James Gusty MD PLLC
Usaf Academy, CO 80840-2502

Mailing address

4102 Pinion Dr
Andrew James Gusty MD PLLC
Usaf Academy, CO 80840-2502
Phone (719) 333-5260

Other practice location 1

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, CO, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20061127000387 AZ Practitioner - Hospitalist 9537184387 Reassigns benefits to 1 organization
I20150831001430 TX Practitioner - Internal MedicinePractitioner - General Practice 9537184387 Reassigns benefits to 1 organization
I20231204000698 CO Practitioner - HospitalistPractitioner - Internal Medicine 9537184387 Reassigns benefits to 1 organization
I20251218002218 CA Practitioner - Internal Medicine 9537184387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Hospitalist Medicine Healthcare LLCGroup PAC ID 5193948867, 13 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (302) 354-5471

2222 N Nevada Ave
HSPH Hospitalists PSF
Colorado Springs, CO 80907-6819
Phone (719) 776-8040

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5800

Hospital & facility affiliations

  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35501AZMDInternal Medicine Physician
DR.0056133COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Hospitalist CurrentSince Jan 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 28, 2015 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 28, 2015 Accepting new patients
Hospitalist Medicine Healthcare LLC Hospitalist CurrentSince Jun 5, 2017 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 6, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2024 Accepting new patients
Summit Healthcare Association Past Accepting new patients
Naz Hospitalists Inc Hospitalist Past Accepting new patients
Samaritan Emergency Corp Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 10

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 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1790763175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "address_2": "ANDREW JAMES GUSTY MD PLLC",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "address_2": "ANDREW JAMES GUSTY MD PLLC",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076819",
            "country_code": "US",
            "telephone_number": "719-776-8040",
            "fax_number": "719-776-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTY",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0056133",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0056133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Usaf Academy, CO

Sources for this page

Verify at the official NPI Registry.