Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MICAELA ERIN BUSH DO
NPI 1053016444
Internal Medicine in Louisville, KY

Active since April 04, 2023PECOS Enrolled
4001 KRESGE WAY STE 122, LOUISVILLE, KY 40207(502) 895-9627 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Apr 4, 2023 (2 updates tracked since 2023).

About Dr. Micaela Erin Bush Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICAELA ERIN BUSH DO (NPI 1053016444) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (06355) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053016444
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICAELA ERIN BUSHCredential: DO
Location Address4001 KRESGE WAY STE 122Louisville, KY 40207-4640
Mailing Address5935 Oakforge LnIndianapolis, IN 46254-1269 · (606) 939-1539
Sole ProprietorNo
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1053016444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 06355
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4001 KRESGE WAY STE 122, Louisville, KY 40207

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Micaela Erin Bush Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micaela Bush's NPI number?

The NPI number for Micaela Bush is 1053016444. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Micaela Bush located?

Micaela Bush practices at 4001 Kresge Way Ste 122, Louisville, KY 40207. The listed phone number is (502) 895-9627.

What is Micaela Bush's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Micaela Bush enrolled in Medicare?

Yes. Micaela Bush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Micaela Bush was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.