TREVOR BUSHONG
NPI 1104389113
Pediatrics - Neonatal-Perinatal Medicine in Columbus, OH

Active since April 08, 2019PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-4411 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2023, Apr 8, 2019 (2 updates tracked since 2019).

About Trevor Bushong NPPES

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

TREVOR BUSHONG (NPI 1104389113) is an individual neonatal-perinatal medicine provider in Columbus, Ohio, licensed in California (A178457) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104389113
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameTREVOR BUSHONG
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address700 Childrens DrColumbus, OH 43205-2664
Sole ProprietorNo
Enumeration DateApril 8, 2019
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1104389113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in CA · A178457
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License A178457 (CA), 57.24806 (OH)
700 CHILDRENS DR, Columbus, OH 43205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Trevor Bushong 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205

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 Trevor Bushong's NPI number?

The NPI number for Trevor Bushong is 1104389113. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Trevor Bushong located?

Trevor Bushong practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-4411.

What is Trevor Bushong's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Trevor Bushong enrolled in Medicare?

Yes. Trevor Bushong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Bushong was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.