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DR. AVIDA NUBIA BUSSELL M.D.
NPI 1235360165
Emergency Medicine in Chicago, IL

Active since July 27, 2009PECOS Enrolled
433 W 95TH ST, CHICAGO, IL 60628(312) 488-0040(708) 719-2922 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Avida Nubia Bussell M.d. NPPES

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

DR. AVIDA NUBIA BUSSELL M.D. (NPI 1235360165) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.05539) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235360165
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. AVIDA NUBIA BUSSELLCredential: M.D.
Location Address433 W 95TH STChicago, IL 60628-1155
Mailing Address22615 Hunters TrlFrankfort, IL 60423-6001 · (773) 981-8609 · Fax (708) 719-2922
Phone(312) 488-0040
Fax(708) 719-2922
Sole ProprietorNo
Enumeration DateJuly 27, 2009
Last NPPES UpdateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1235360165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125.05539
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
433 W 95TH ST, Chicago, IL 60628
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Secondary Practice Locations 3

Location 11007 LincolnwayLA Porte, IN 46350-3201 · Phone (219) 326-2300
Location 217495 La Grange RdTinley Park, IL 60487-7581 · Phone (708) 226-7000
Location 3155 E 44th St Ste 1700New York, NY 10017-4100 · Phone (888) 688-2332

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Avida Nubia Bussell M.d. 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Avida Bussell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pearls Of Veda Medical And Holistic
Same address
General Practice
433 W 95TH ST
Chicago, IL 60628
  • Reassigned Medicare billing, Illinois enrollment
NPI 1730823162 (708) 879-3043
Advocate Health & Hospitals Corporation
5.1 mi
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900
Dupage Medical Group Ltd
21 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200
Signify Health Medical Associates, PLLC
790 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Ctd Network LLC
996 mi
Multi-Specialty
1805 JAMES L REDMAN PKWY STE 201
Plant City, FL 33563
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1851039762 (813) 807-3338

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

PEARLS OF VEDA MEDICAL AND HOLISTIC
General Practice
433 W 95TH ST
CHICAGO, IL 60628
Cook County (708) 879-3043

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 Avida Bussell's NPI number?

The NPI number for Avida Bussell is 1235360165. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Avida Bussell located?

Avida Bussell practices at 433 W 95th St, Chicago, IL 60628. The listed phone number is (312) 488-0040.

What is Avida Bussell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Avida Bussell enrolled in Medicare?

Yes. Avida Bussell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Avida Bussell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avida Bussell reassigns Medicare benefits to 5 organizations: Pearls Of Veda Medical And Holistic (Chicago, IL), Advocate Health & Hospitals Corporation (Oak Lawn, IL), Dupage Medical Group Ltd (Downers Grove, IL), Signify Health Medical Associates, PLLC (Dallas, TX) and Ctd Network LLC (Plant City, FL). Each 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 Avida Bussell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Avida Bussell was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.