Active NPI
Brian Pablo Bustos, MD
- Nephrology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD600004069
- Practice address
- 1140 Varnum St NE Ste 202
Washington, DC 20017-2153 - Phone
- (202) 269-6430
- Fax
- (202) 269-6598
- NPI assigned
- Apr 6, 2020
- Last updated
- Dec 9, 2025
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79324 | CT | |
| Nephrology Physician | 207RN0300X | D0103759 | MD | |
| Nephrology Physician | 207RN0300X | MD600004069 | DC | Primary |
| Nephrology Physician | 207RN0300X | 0101286594 | VA |
Addresses
Primary practice location
1140 Varnum St NE Ste 202
Washington, DC 20017-2153
Mailing address
1140 Varnum St NE Ste 202
Washington, DC 20017-2153
Phone (202) 269-6430
Other practice location 1
6408 Seven Corners Pl Ste C
Falls Church, VA 22044-2011
Phone (202) 269-6430
Other practice location 2
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387742600 | Medicaid | MD | |
| 070107673 | Medicaid | DC |
Other names 1
- Dr. Brian Elwin Pablo Bustos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, DC
- 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
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121
1140 Varnum St NE PMB
Suite 202
Washington, DC 20017-2151
Phone (202) 269-6430
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79324 | CT | MD | Internal Medicine Physician |
| 0101286594 | VA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Internal Medicine | Current | Accepting new patients |
| Midstate Medical Center | Current | Accepting new patients | |
| Midstate Medical Center | Current | Accepting new patients | |
| Midstate Medical Center | Current | Accepting new patients | |
| Doris Pablo-Bustos, MD PC | Internal Medicine | Current | Accepting new patients |
| Bustos Associates LLC | Nephrology | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients |
Locations
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
1140 Varnum St NE
Ste 202
Washington, DC 20017
Phone (202) 269-6430
6408 Seven Corners Pl
Ste C
Falls Church, VA 22044
Phone (703) 237-1197
Interoperability endpoints
- brian.bustos@xdr.hhchealthdirect.org
Organizations & group practices 7
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.
-
- Nephrology Physician
- Washington, DC
- NPI 1922335561
-
dba The Hospital of Central Connecticut
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Internal Medicine
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1154425288
-
- Internal Medicine Physician
- Washington, DC
- NPI 1659553253
-
- Psychiatric Hospital Unit
- Meriden, CT
- NPI 1316022718
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
dba The Hospital of Central Connecticut
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
dba The Hospital of Central Connecticut
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1952930455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 VARNUM ST NE STE 202",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172153",
"telephone_number": "202-269-6430",
"fax_number": "202-269-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 VARNUM ST NE STE 202",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172153",
"telephone_number": "202-269-6430",
"fax_number": "202-269-6598"
}
],
"practiceLocations": [
{
"address_1": "6408 Seven Corners Pl Ste C",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220442011",
"country_code": "US",
"telephone_number": "202-269-6430",
"fax_number": "202-269-6598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Grand St",
"address_purpose": "LOCATION",
"city": "New Britain",
"state": "CT",
"postal_code": "060522016",
"country_code": "US",
"telephone_number": "860-224-5011",
"fax_number": "860-224-5011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSTOS",
"first_name": "BRIAN",
"middle_name": "PABLO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-06",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "79324",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D0103759",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "DC",
"license": "MD600004069",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101286594",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "387742600",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070107673",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRIAN ELWIN",
"last_name": "BUSTOS",
"middle_name": "PABLO",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.