HAMAMA TUL BUSHRA MD
NPI 1720541758
Student in an Organized Health Care Education/Training Program in Stony Brook, NY
About Hamama Tul Bushra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAMAMA TUL BUSHRA MD (NPI 1720541758) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hamama Tul Bushra 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.
Medicare Billing Reassignment
Medicare enrollment records show Hamama Tul Bushra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palos Heights, IL 60463
- Reassigned Medicare billing, Illinois enrollment
- 9 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Palos Community Hospital
Acute Care Hospitals · Palos Heights, ILNorthwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11794
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 Hamama Tul Bushra's NPI number?
The NPI number for Hamama Tul Bushra is 1720541758. It was assigned to this individual provider in the NPPES registry on April 8, 2019.
Where is Hamama Tul Bushra located?
Hamama Tul Bushra practices at University Hospital Level 2, Room 749, Stony Brook, NY 11794. The listed phone number is (630) 915-8148.
What is Hamama Tul Bushra's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Hamama Tul Bushra enrolled in Medicare?
Yes. Hamama Tul Bushra 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.
Which organization bills Medicare for Hamama Tul Bushra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hamama Tul Bushra reassigns Medicare benefits to Palos Diagnostics Sc (Palos Heights, IL). 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 Hamama Tul Bushra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Hamama Tul Bushra affiliated with any hospitals?
According to CMS data, Hamama Tul Bushra is affiliated with Palos Community Hospital and Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Hamama Tul Bushra was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Hamama Tul Bushra, MD · NPI 1720541758
Student in an Organized Health Care Education/Training Program provider in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since April 8, 2019.
## Identity
- **NPI:** 1720541758 (Entity type: Individual)
- **Enumerated:** April 8, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** UNIVERSITY HOSPITAL LEVEL 2, ROOM 749, Stony Brook, NY 11794-0001
- **Phone:** (630) 915-8148
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Palos Diagnostics Sc (NPI 1447497318, Palos Heights, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1720541758) · Data from the CMS NPPES public registry.