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DR. MAYRA S. BUSTILLO M.D.
NPI 1740231430
Pediatrics - Pediatric Pulmonology in Lafayette, LA

Active since May 15, 2006PECOS Enrolled
500 PATTERSON ST, LAFAYETTE, LA 70501(337) 769-9451(337) 769-9460 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 22, 2019, Oct 18, 2016 (2 updates tracked since 2016).

About Dr. Mayra S. Bustillo M.d. NPPES

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

DR. MAYRA S. BUSTILLO M.D. (NPI 1740231430) is an individual pediatric pulmonology provider in Lafayette, Louisiana, licensed in Louisiana (12129R) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740231430
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameDR. MAYRA S. BUSTILLOCredential: M.D.
Location Address500 PATTERSON STLafayette, LA 70501-1849
Mailing Address2000 Opelousas StLake Charles, LA 70601-2641 · (337) 439-9983 · Fax (337) 439-8898
Phone(337) 769-9451
Fax(337) 769-9460
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1740231430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in LA · 12129R✔ Licensed in TX · L6308
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
500 PATTERSON ST, Lafayette, LA 70501
Open in Google Maps ↗

Other Identifiers 2

Medicaid081278601TX
Medicaid1533467LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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. Mayra S. Bustillo M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Mayra Bustillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swla Center For Health Services
Same address
Federally Qualified Health Center (FQHC)
500 PATTERSON ST
Lafayette, LA 70501
  • Reassigned Medicare billing, Louisiana enrollment
  • 34 clinicians in this Medicare group
NPI 1376725952 (337) 769-9451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOSSLYN ANTHONY
Nurse Practitioner (Family)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
RONNELL JONES NP
Nurse Practitioner (Psychiatric/Mental Health)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
MR. SCOTTY A ARCENEAUX
Counselor (Professional)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
MRS. BRITTNEY RAFFIAL PATTERSON-DAVIS FNP
Nurse Practitioner (Family)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
MANZY WILLIAMS
Social Worker (Clinical)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
TAYLOR FARRIS
Social Worker (Clinical)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
ALISA M. BUTLER FNP
Nurse Practitioner (Family)
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451
SWLA CENTER FOR HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
500 PATTERSON ST
LAFAYETTE, LA 70501
Lafayette Parish (337) 769-9451

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 Mayra Bustillo's NPI number?

The NPI number for Mayra Bustillo is 1740231430. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mayra Bustillo located?

Mayra Bustillo practices at 500 Patterson St, Lafayette, LA 70501. The listed phone number is (337) 769-9451.

What is Mayra Bustillo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Mayra Bustillo enrolled in Medicare?

Yes. Mayra Bustillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mayra Bustillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Bustillo reassigns Medicare benefits to Swla Center For Health Services (Lafayette, LA). 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 Mayra Bustillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayra Bustillo accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Mayra Bustillo 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 Mayra Bustillo was last updated on June 10, 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.