Active NPI
Sita Bushan, MD
- Hematology & Oncology Physician
- Houston, TX
National Provider Identifier
1841635620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- R1506
- Practice address
- 2525A Holly Hall St
Houston, TX 77054-4124 - Phone
- (713) 526-4243
- Fax
- (713) 440-1190
- NPI assigned
- May 7, 2013
- Last updated
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 191483 | NC | |
| Hematology & Oncology Physician | 207RH0003X | R1506 | TX | Primary |
Addresses
Primary practice location
2525A Holly Hall St
Houston, TX 77054-4124
Mailing address
7200 Cambridge Street
Bcm660
Houston, TX 77030
Phone (713) 798-1963
Other practice location 1
Acc Clinic Clb # 7705
102 Mason Farm Road
Chapel Hill, NC 27599-0001
Phone (919) 966-1459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1506 | TX | MD | Hematology & Oncology Physician |
| 191483 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1841635620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CAMBRIDGE STREET",
"address_2": "BCM660",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-798-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525A HOLLY HALL ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770544124",
"telephone_number": "713-526-4243",
"fax_number": "713-440-1190"
}
],
"practiceLocations": [
{
"address_1": "Acc Clinic Clb # 7705",
"address_2": "102 Mason Farm Road",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275990001",
"country_code": "US",
"telephone_number": "919-966-1459",
"fax_number": "919-843-9355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSHAN",
"first_name": "SITA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2022-11-03",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "191483",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TX",
"license": "R1506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.