DR. RATHNA BUSHAN MD
NPI 1780723577
Pediatrics in Immokalee, FL

Q: What is Rathna Bushan's NPI number?

The NPI number for Rathna Bushan is 1780723577. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Rathna Bushan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rathna Bushan was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 06, 2007PECOS Enrolled

1454 MADISON AVE W, IMMOKALEE, FL 34142(239) 965-8300(239) 658-3175 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Rathna Bushan Md NPPES

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

DR. RATHNA BUSHAN MD (NPI 1780723577) is an individual pediatrics provider in Immokalee, Florida, licensed in Florida (ME55449) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780723577

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. RATHNA BUSHANCredential: MD

Location Address1454 MADISON AVE WImmokalee, FL 34142-2200

Mailing Address11341 Longwater Chase CourtFort Myers, FL 33908

Phone(239) 965-8300

Fax(239) 658-3175

Sole ProprietorNo

Enumeration DateFebruary 6, 2007

Last NPPES UpdateMarch 7, 2023

✔ NPI 1780723577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME55449

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1454 MADISON AVE W, Immokalee, FL 34142

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Other Identifiers 1

OtherME55449Medical License

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. Rathna Bushan Md 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 34142 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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