Michael P Bustin, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0040303 Issued in FL

Practice address

1321 NW 14TH St
202
Miami, FL 33125-1673

Phone

(305) 545-0095

Fax

(305) 545-7535

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mbustin38211@direct.med.miami.edu

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1861403206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 14 STREET",
            "address_2": "202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-545-0095",
            "fax_number": "305-545-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST",
            "address_2": "202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251673",
            "telephone_number": "305-545-0095",
            "fax_number": "305-545-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTIN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0040303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "95978",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066692100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Jesus Bustillo, RMFTI, PMHNP
• Hortencia Luisa Bustillo
• Pedro I. Bustillo, M.D.
• Vanessa Lucia Bustillo
• Carlos Andres Bustillos Montero, SA-C
• Derek Busto, ATC, LAT
• Valeria Patricia Bustos Hemer, MD, MSC
• Katrina Isabella Bustos
• Leslie Marie Bustos
• Danays Busutil Valdes

• Gastroenterology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.