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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IYAD AL-BUSTAMI MD, MPH
NPI 1164110789
Internal Medicine - Gastroenterology in Danville, PA

Active since May 01, 2023PECOS Enrolled
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6856 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2026, May 1, 2023 (2 updates tracked since 2023).

About Iyad Al-bustami Md, Mph NPPES

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

IYAD AL-BUSTAMI MD, MPH (NPI 1164110789) is an individual gastroenterology provider in Danville, Pennsylvania, licensed in Pennsylvania (MT236557) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164110789
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameIYAD AL-BUSTAMICredential: MD, MPH
Location Address100 N ACADEMY AVEDanville, PA 17822-0001
Mailing Address100 N Academy AveDanville, PA 17822-0001 · (570) 271-6856
Phone(570) 271-6856
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateJuly 19, 20262 updates tracked since enumeration
NPPES CertifiedJuly 19, 2026
✔ NPI 1164110789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MT236557
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
100 N ACADEMY AVE, Danville, PA 17822
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Iyad Al-bustami Md, Mph 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 17822 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Iyad Al-bustami's NPI number?

The NPI number for Iyad Al-bustami is 1164110789. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Iyad Al-bustami located?

Iyad Al-bustami practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6856.

What is Iyad Al-bustami's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Iyad Al-bustami enrolled in Medicare?

Yes. Iyad Al-bustami is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iyad Al-bustami was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.