EVERICK AYALA-BUSTAMANTE MD
NPI 1114265766
Radiology - Diagnostic Radiology in Bronx, NY

Q: What is Everick Ayala-bustamante's NPI number?

The NPI number for Everick Ayala-bustamante is 1114265766. It was assigned to this individual provider in the NPPES registry on January 16, 2013.

Q: What is Everick Ayala-bustamante's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since January 16, 2013PECOS EnrolledAccepts Medicare Assignment

1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440(718) 991-4516 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2019, Apr 25, 2019 (2 updates tracked since 2019).

On this page

About Everick Ayala-bustamante Md NPPES

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

EVERICK AYALA-BUSTAMANTE MD (NPI 1114265766) is an individual diagnostic radiology provider in Bronx, New York, licensed in New York (267626) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1114265766

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameEVERICK AYALA-BUSTAMANTECredential: MD

Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417

Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440

Phone(718) 589-2440

Fax(718) 991-4516

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 16, 2013

Last NPPES UpdateJuly 10, 20192 updates tracked since enumeration

✔ NPI 1114265766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 267626

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1065 SOUTHERN BLVD, Bronx, NY 10459

Open in Google Maps ↗

Other Identifiers 1

Other267626NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Everick Ayala-bustamante Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890930390

PECOS Enrollment IDI20130404000529

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.

Medicare Billing Reassignments

Medicare enrollment records show Everick Ayala-bustamante reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York City Health And Hospitals Corporation

1.5 mi

Clinic/Center

TREMONT COMMUNITY HEALTH CENTER OF EXCELLENCE, 1920 WEBSTER AVENUE
Bronx, NY 10457

Reassigned Medicare billing, New York enrollment
1,615 clinicians in this Medicare group

NPI 1548998347 (646) 815-9700

Physician Affiliate Group Of New York PC

2.6 mi

Dietitian, Registered

506 LENOX AVE
New York, NY 10037

Reassigned Medicare billing, New York enrollment
2,094 clinicians in this Medicare group

NPI 1013375526 (212) 939-2467

Maimonides Faculty Practice Plan

14 mi

Internal Medicine

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
1,177 clinicians in this Medicare group

NPI 1053344846 (718) 283-8700

Maimonides Medical Center - Mmc Radiology Fpp

14 mi

Diagnostic Radiology

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
135 clinicians in this Medicare group

NPI 1811948284 (718) 283-6157

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330196

Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County

Emergency services Birthing friendly

Kings County Hospital Center

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330202

Location451 Clarkson AvenueBrooklyn, NY 11203 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10459 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms

Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

58%529 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SARAH VANEGAS

Social Worker