RAFAEL MIGUEL BUSTAMANTE M.D.
NPI 1164743837
Surgery - Vascular Surgery in Fort Lauderdale, FL

Q: What is Rafael Bustamante's NPI number?

The NPI number for Rafael Bustamante is 1164743837. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Q: What is Rafael Bustamante's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Bustamante was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1601 S ANDREWS AVE FL 3, FORT LAUDERDALE, FL 33316(954) 320-3380(954) 320-3371 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2019, Oct 3, 2018 (2 updates tracked since 2018).

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About Rafael Miguel Bustamante M.d. NPPES

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

RAFAEL MIGUEL BUSTAMANTE M.D. (NPI 1164743837) is an individual vascular surgery provider in Fort Lauderdale, Florida, licensed in Florida (ME137233) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Northwest Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2010).

NPPES Registry Identity

NPI1164743837

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameRAFAEL MIGUEL BUSTAMANTECredential: M.D.

Location Address1601 S ANDREWS AVE FL 3Fort Lauderdale, FL 33316-2509

Mailing Address1700 Nw 49th St Ste 125Fort Lauderdale, FL 33309-3750 · (954) 320-3380 · Fax (954) 320-3371

Phone(954) 320-3380

Fax(954) 320-3371

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2010

Enumeration DateJune 17, 2010

Last NPPES UpdateAugust 9, 20192 updates tracked since enumeration

✔ NPI 1164743837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in FL · ME137233

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN14979 (FL)

1601 S ANDREWS AVE FL 3, Fort Lauderdale, FL 33316

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Miguel Bustamante M.d. 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 ID4981841871

PECOS Enrollment IDI20190124002519

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

116 services103 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

102 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services24 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100189

Location2801 N State Rd 7Margate, FL 33063 · Broward County

Emergency services Birthing friendly

University Hospital And Medical Center

Acute Care Hospitals · Tamarac, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100224

Location7201 N University DrTamarac, FL 33321 · Broward County

Emergency services

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Hca Florida University Hospital

Acute Care Hospitals · Davie, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100360

Location3476 S University DrDavie, FL 33328 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

SAMANTHA SHOSHANA PETRILLO AGACNP-BC

Nurse Practitioner (Adult Health)