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SIMON GRECEL MENDEZ BUSTAMANTE MD
NPI 1306369608
Student in an Organized Health Care Education/Training Program in Nyc, NY

Active since July 19, 2017PECOS Enrolled
100/100
CMS Quality Rating
1400 PELHAM PARKWAY SOUTH BRONX, JACOBI MEDICAL CENTER, NYC, NY 10461(718) 918-5000 Get Directions Write a Review

NPPES record last updated: July 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Grecel Mendez Bustamante Md NPPES

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

SIMON GRECEL MENDEZ BUSTAMANTE MD (NPI 1306369608) is an individual student in an organized health care education/training program in Nyc, New York and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306369608
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSIMON GRECEL MENDEZ BUSTAMANTECredential: MD
Location Address1400 PELHAM PARKWAY SOUTH BRONX, JACOBI MEDICAL CENTERNyc, NY 10461
Mailing Address1400 Pelham Parkway South Bronx, Jacobi Medical CenterNyc, NY 10461
Phone(718) 918-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 19, 2017
✔ NPI 1306369608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 PELHAM PARKWAY SOUTH BRONX, Nyc, NY 10461
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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)

Simon Grecel Mendez Bustamante Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941627640
PECOS Enrollment IDI20200826002072
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

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 straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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 2

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

ANA CAROLINA RIOS CHEN M.D.
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH BRONX
NEW YORK CITY, NY 10461
Bronx County (718) 918-5642
MR. DIMITRIOS RAPTIS M.D.
Student in an Organized Health Care Education/Training Program
1400 PELHAM PARKWAY SOUTH BRONX, JACOBI MEDICAL CENTER
NEW YORK CITY, NY 10461
Bronx County (718) 918-5000

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 Simon Mendez Bustamante's NPI number?

The NPI number for Simon Mendez Bustamante is 1306369608. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Simon Mendez Bustamante located?

Simon Mendez Bustamante practices at 1400 Pelham Parkway South Bronx Jacobi Medical Center, Nyc, NY 10461. The listed phone number is (718) 918-5000.

What is Simon Mendez Bustamante's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Simon Mendez Bustamante enrolled in Medicare?

Yes. Simon Mendez Bustamante is registered in the Medicare PECOS enrollment system.

Is Simon Mendez Bustamante affiliated with any hospitals?

According to CMS data, Simon Mendez Bustamante is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Simon Mendez Bustamante was last updated on July 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.