ELIZABETH BUSTAMANTE MD
NPI 1952096679
Internal Medicine in Grand Rapids, MI

Q: What is Elizabeth Bustamante's NPI number?

The NPI number for Elizabeth Bustamante is 1952096679. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Q: What is Elizabeth Bustamante's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 07, 2023PECOS Enrolled

275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503(616) 391-3777(616) 391-3755 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Jun 22, 2023, Apr 7, 2023 (3 updates tracked since 2023).

On this page

About Elizabeth Bustamante Md NPPES

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

ELIZABETH BUSTAMANTE MD (NPI 1952096679) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351051300) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952096679

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELIZABETH BUSTAMANTECredential: MD

Location Address275 MICHIGAN ST NE FL 9Grand Rapids, MI 49503-2531

Mailing Address275 Michigan St Ne Fl 9Grand Rapids, MI 49503-2531 · (616) 391-3777 · Fax (616) 391-3755

Phone(616) 391-3777

Fax(616) 391-3755

Sole ProprietorNo

Enumeration DateApril 7, 2023

Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1952096679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4351051300

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

275 MICHIGAN ST NE FL 9, Grand Rapids, MI 49503

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Bustamante 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 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

MITCHELL SARKISOV DO

Internal Medicine