FREYLI J BUSTAMANTE GONZALEZ MD
NPI 1619474848
Radiology - Diagnostic Radiology in Augusta, GA
About Freyli J Bustamante Gonzalez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREYLI J BUSTAMANTE GONZALEZ MD (NPI 1619474848) is an individual diagnostic radiology provider in Augusta, Georgia, licensed in Georgia (009840) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Freyli J Bustamante Gonzalez 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Au Medical Center
Acute Care Hospitals · Augusta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30912 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.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Freyli Bustamante Gonzalez's NPI number?
The NPI number for Freyli Bustamante Gonzalez is 1619474848. It was assigned to this individual provider in the NPPES registry on April 13, 2018.
Where is Freyli Bustamante Gonzalez located?
Freyli Bustamante Gonzalez practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-7401.
What is Freyli Bustamante Gonzalez's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Freyli Bustamante Gonzalez enrolled in Medicare?
Yes. Freyli Bustamante Gonzalez 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 Freyli Bustamante Gonzalez accept?
Health plans from Alliant Health Plans, Inc. list Freyli Bustamante Gonzalez 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 Freyli Bustamante Gonzalez affiliated with any hospitals?
According to CMS data, Freyli Bustamante Gonzalez is affiliated with Au Medical Center.
When was this NPI record last updated?
The NPPES record for Freyli Bustamante Gonzalez was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Freyli J Bustamante Gonzalez, MD · NPI 1619474848
Diagnostic Radiology physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since April 13, 2018.
## Identity
- **NPI:** 1619474848 (Entity type: Individual)
- **Enumerated:** April 13, 2018
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 009840 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, Augusta, GA 30912-0004
- **Phone:** (706) 721-7401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619474848) · Data from the CMS NPPES public registry.