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DR. IVAN JOSE BUSTILLO CHAMS MD
NPI 1457501827
Internal Medicine - Hematology & Oncology in Grand Forks, ND

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
ALTRU CANCER CENTER, 960 S. COLUMBIA ROAD, GRAND FORKS, ND 58201(701) 780-5400(203) 789-5184 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ivan Jose Bustillo Chams Md NPPES

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

DR. IVAN JOSE BUSTILLO CHAMS MD (NPI 1457501827) is an individual hematology & oncology provider in Grand Forks, North Dakota, licensed in North Dakota (PT12924) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457501827
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. IVAN JOSE BUSTILLO CHAMSCredential: MD
Location AddressALTRU CANCER CENTER, 960 S. COLUMBIA ROADGrand Forks, ND 58201
Mailing AddressPo Box 13780Grand Forks, ND 58208 · (701) 780-1891 · Fax (203) 789-5184
Phone(701) 780-5400
Fax(203) 789-5184
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 23, 2008
Last NPPES UpdateJanuary 29, 2025
✔ NPI 1457501827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in ND · PT12924
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
ALTRU CANCER CENTER, Grand Forks, ND 58201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan Jose Bustillo Chams Md 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 ID244472363
PECOS Enrollment IDI20130820000088
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.

Hospital Affiliations CMS Care Compare 5

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

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Pembina County Memorial Hospital

Critical Access Hospitals · Cavalier, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351319
LocationBox 380Cavalier, ND 58220 · Pembina County
Emergency services

First Care Health Center

Critical Access Hospitals · Park River, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351326
Location115 Vivian StPark River, ND 58270 · Walsh County
Emergency services

Heart Of America Medical Center

Critical Access Hospitals · Rugby, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351332
Location800 S Main AveRugby, ND 58368 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 2

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

KIMBERLY R NEELY AGACNP-BC
Nurse Practitioner (Gerontology)
ALTRU CANCER CENTER, 960 S. COLUMBIA ROAD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5000
MS. GINA RENAE MATHIASON NP-C
Nurse Practitioner
ALTRU CANCER CENTER, 960 S COLUMBIA ROAD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5400

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 Ivan Bustillo Chams's NPI number?

The NPI number for Ivan Bustillo Chams is 1457501827. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Ivan Bustillo Chams located?

Ivan Bustillo Chams practices at Altru Cancer Center 960 S. Columbia Road, Grand Forks, ND 58201. The listed phone number is (701) 780-5400.

What is Ivan Bustillo Chams's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ivan Bustillo Chams enrolled in Medicare?

Yes. Ivan Bustillo Chams 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.

What insurance does Ivan Bustillo Chams accept?

Health plans from Medica list Ivan Bustillo Chams 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 Ivan Bustillo Chams affiliated with any hospitals?

According to CMS data, Ivan Bustillo Chams is affiliated with Lifecare Medical Center, Altru Hospital, Pembina County Memorial Hospital, First Care Health Center and Heart Of America Medical Center.

When was this NPI record last updated?

The NPPES record for Ivan Bustillo Chams was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.