Individual provider Active NPI

Ronald B Bush, MD

  • Internal Medicine Physician
  • Indian Wells, CA
National Provider Identifier
1851366843
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53069 Issued in CA
Practice address
45280 Club Dr
Indian Wells, CA 92210-8860
Phone
(760) 200-2992
Fax
(760) 200-2993
NPI assigned
Feb 22, 2006
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53069 CA Primary

Addresses

Primary practice location

45280 Club Dr
Indian Wells, CA 92210-8860

Mailing address

PO Box 13430
Palm Desert, CA 92255-3430
Phone (760) 200-2992

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040908001442 CA Practitioner - Internal MedicinePractitioner - General Practice 5597731752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

41990 Cook St
Suite B201
Palm Desert, CA 92211-6101
Phone (760) 200-2992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.29 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
74.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald B Bush MD a Professional Corp Internal Medicine Current Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

45280 Club Dr
Indian Wells, CA 92210
Phone (760) 200-2992

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1851366843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13430",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922553430",
            "telephone_number": "760-200-2992",
            "fax_number": "760-200-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45280 CLUB DR",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922108860",
            "telephone_number": "760-200-2992",
            "fax_number": "760-200-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "RONALD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

Verify at the official NPI Registry.