DR. MICHAEL NEAL BUSH M.D.
NPI 1417010638
Internal Medicine in New York, NY

Active since December 18, 2006PECOS EnrolledCLIA 33D1031707 · Waiver
115 E 57TH ST, SUITE 630, NEW YORK, NY 10022(212) 583-2990(212) 644-2522 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Neal Bush M.d. NPPES

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

DR. MICHAEL NEAL BUSH M.D. (NPI 1417010638) is an individual internal medicine provider in New York, New York, licensed in New York (139099) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 6, 2026, and is a graduate of State University Of New York Downstate Medical Center (1978).

NPPES Registry Identity

NPI1417010638
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL NEAL BUSHCredential: M.D.
Location Address115 E 57TH ST, SUITE 630New York, NY 10022-2049
Mailing Address360 E 72nd St, Apartment B1210New York, NY 10021-4753 · (212) 583-2990 · Fax (212) 644-2522
Fax(212) 644-2522
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1978
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417010638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 139099
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 E 57TH ST, New York, NY 10022

Other Identifiers 2

Medicare ID-Type Unspecified67A041NY
Medicare UPINC11706NY

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. Michael Neal Bush M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890681498
PECOS Enrollment IDI20040909001395
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1031707

Michael N Bush MD PC · New York, NY
Active · expires Oct 6, 2026
CLIA Number33D1031707
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorMichael N. Bush
Laboratory Phone(212) 583-2990
Laboratory LocationMichael N Bush MD PC115 E 57th Street, Suite 630 Office B, New York, NY 10022
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
304 services112 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services104 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.
223 services87 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
210 services107 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
158 services99 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
70 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

Internal Medicine
115 E 57TH ST, SUITE 510
NEW YORK, NY 10022
Physician Assistant
115 E 57TH ST, SUITE 710
NEW YORK, NY 10022
Specialist
115 E 57TH ST, SUITE 600
NEW YORK, NY 10022
Pain Medicine (Interventional Pain Medicine)
115 E 57TH ST, SUITE 1210
NEW YORK, NY 10022
Anesthesiology (Pain Medicine)
115 E 57TH ST, SUITE 610
NEW YORK, NY 10022
Specialist
115 E 57TH ST, SUITE 600
NEW YORK, NY 10022
Specialist
115 E 57TH ST, SUITE 1210
NEW YORK, NY 10022
Clinic/Center (Ambulatory Surgical)
115 E 57TH ST, 1210
NEW YORK, NY 10022

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 Michael Bush's NPI number?

The NPI number for Michael Bush is 1417010638. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Michael Bush located?

Michael Bush practices at 115 E 57th St Suite 630, New York, NY 10022. The listed phone number is (212) 583-2990.

What is Michael Bush's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Bush enrolled in Medicare?

Yes. Michael Bush is registered in the Medicare PECOS enrollment system.

Does Michael Bush hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1031707) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael Bush was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.