Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KEVIN BUSTOS DO
NPI 1508483553
Internal Medicine - Cardiovascular Disease in Waukesha, WI

Q: 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.

Q: What is Kevin Bustos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Bustos was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 25, 2020PECOS Enrolled

725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-8800 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 14, 2023, Jun 25, 2020 (2 updates tracked since 2020).

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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.

NPPES Registry Identity

NPI1508483553

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KEVIN BUSTOSCredential: DO

Location Address725 AMERICAN AVEWaukesha, WI 53188-5031

Mailing Address725 American AveWaukesha, WI 53188-5031

Phone(262) 928-8800

Sole ProprietorNo

Enumeration DateJune 25, 2020

Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1508483553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WI · 8213221

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

725 AMERICAN AVE, Waukesha, WI 53188

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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)

Dr. Kevin Bustos Do 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 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.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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.

DR. DANIELLE M SMITH MD

Hospitalist

725 AMERICAN AVE, WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST GROUP
WAUKESHA, WI 53188

Waukesha County (262) 928-5400

RADIOLOGY WAUKESHA S.C.

Radiology (Diagnostic Radiology)