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

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: October 18, 2026.

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

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 22 Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Rafael Bustamante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palm Beach General Surgery LLC
41 mi
Surgery
12983 SOUTHERN BLVD
Loxahatchee, FL 33470
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group
NPI 1235326760 (561) 439-0961

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

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 Interoperability100
Improvement Activities40

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)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
KELLY MELISSA ROLAND APRN
Nurse Practitioner (Family)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
MONICA SVOBODA APRN
Nurse Practitioner (Family)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
ALLISON HEATHER PRINTZ FNP-C
Nurse Practitioner (Family)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
NORTH BROWARD HOSPITAL DISTRICT
Neurological Surgery
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6665
ANDREA P KRASNIANSKY OTR/L, MHS,MPH, PA-C
Physician Assistant (Medical)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 763-6655
DR. JOSEPH HASAN HABIB M.D.
Surgery (Vascular Surgery)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 320-3380
NEHA KAPILA MD
Orthopaedic Surgery (Hand Surgery)
1601 S ANDREWS AVE FL 3
FORT LAUDERDALE, FL 33316
Broward County (954) 468-4069

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 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.

Where is Rafael Bustamante located?

Rafael Bustamante practices at 1601 S Andrews Ave Fl 3, Fort Lauderdale, FL 33316. The listed phone number is (954) 320-3380.

What is Rafael Bustamante's specialty?

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

Is Rafael Bustamante enrolled in Medicare?

Yes. Rafael Bustamante is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rafael Bustamante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Bustamante reassigns Medicare benefits to Palm Beach General Surgery LLC (Loxahatchee, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafael Bustamante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Bustamante accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AmeriHealth Caritas Next and 6 other insurers list Rafael Bustamante as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafael Bustamante affiliated with any hospitals?

According to CMS data, Rafael Bustamante is affiliated with Hca Florida Northwest Hospital, University Hospital And Medical Center, Westside Regional Medical Center and Hca Florida University Hospital.

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.