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: July 19, 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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

General Practice
433 W 95TH ST
CHICAGO, IL 60628

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.

What insurance does Avida Bussell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Avida Bussell 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.

When was this NPI record last updated?

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