DR. KEVIN BUSTOS DO
NPI 1508483553
Internal Medicine - Cardiovascular Disease in Waukesha, WI
About Dr. Kevin Bustos Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN BUSTOS DO (NPI 1508483553) is an individual cardiovascular disease provider in Waukesha, Wisconsin, licensed in Wisconsin (8213221) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kevin Bustos Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Bustos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 528 clinicians in this Medicare group
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 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WAUKESHA, WI 53188
WAUKESHA, WI 53188
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 Kevin Bustos's NPI number?
The NPI number for Kevin Bustos is 1508483553. It was assigned to this individual provider in the NPPES registry on June 25, 2020.
Where is Kevin Bustos located?
Kevin Bustos practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-8800.
What is Kevin Bustos's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Kevin Bustos enrolled in Medicare?
Yes. Kevin Bustos is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Bustos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Bustos reassigns Medicare benefits to Prohealth Medical Group Inc (Waukesha, WI). The 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 Kevin Bustos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Bustos accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Kevin Bustos 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 Kevin Bustos was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Kevin Bustos, DO · NPI 1508483553
Cardiovascular Disease physician in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since June 25, 2020.
## Identity
- **NPI:** 1508483553 (Entity type: Individual)
- **Enumerated:** June 25, 2020
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 8213221 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 AMERICAN AVE, Waukesha, WI 53188-5031
- **Phone:** (262) 928-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Medical Group Inc (NPI 1629225677, Waukesha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2020
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508483553) · Data from the CMS NPPES public registry.