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DR. MARTHA BUSTAMANTE M.D.
NPI 1801889282
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Hialeah, FL

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
4160 W 16TH AVE STE 100, HIALEAH, FL 33012(305) 826-5655(305) 826-5598 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Martha Bustamante M.d. NPPES

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

DR. MARTHA BUSTAMANTE M.D. (NPI 1801889282) is an individual neurology with special qualifications in child neurology provider in Hialeah, Florida, licensed in Florida (ME58534) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1801889282
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameDR. MARTHA BUSTAMANTECredential: M.D.
Location Address4160 W 16TH AVE STE 100Hialeah, FL 33012-5853
Mailing Address4160 W 16th Ave Ste 100Hialeah, FL 33012-5853 · (305) 826-5655 · Fax (305) 826-5598
Phone(305) 826-5655
Fax(305) 826-5598
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 15, 2022
NPPES CertifiedNovember 14, 2022
✔ NPI 1801889282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in FL · ME58534
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License ME58534 (FL)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME58534 (FL)
Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X · License ME58534 (FL)
4160 W 16TH AVE STE 100, Hialeah, FL 33012
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Other Identifiers 1

Medicaid056888100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Martha Bustamante M.d. 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.

PECOS PAC ID5991809386
PECOS Enrollment IDI20070323000321
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 33012 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LITTLE FRANCIS CORP
Behavior Analyst
4160 W 16TH AVE STE 100
HIALEAH, FL 33012
Miami-Dade County (305) 518-7783

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 Martha Bustamante's NPI number?

The NPI number for Martha Bustamante is 1801889282. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Martha Bustamante located?

Martha Bustamante practices at 4160 W 16th Ave Ste 100, Hialeah, FL 33012. The listed phone number is (305) 826-5655.

What is Martha Bustamante's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Martha Bustamante enrolled in Medicare?

Yes. Martha Bustamante 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 Martha Bustamante accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Martha Bustamante 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 Martha Bustamante was last updated on November 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.