DR. BRIAN PABLO BUSTOS MD
NPI 1952930455
Internal Medicine - Nephrology in Washington, DC

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
1140 VARNUM ST NE STE 202, WASHINGTON, DC 20017(202) 269-6430(202) 269-6598 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Oct 10, 2025, Apr 6, 2020 (3 updates tracked since 2020).

About Dr. Brian Pablo Bustos Md NPPES

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

DR. BRIAN PABLO BUSTOS MD (NPI 1952930455) is an individual nephrology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD600004069) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952930455
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BRIAN PABLO BUSTOSCredential: MD
Location Address1140 VARNUM ST NE STE 202Washington, DC 20017-2153
Mailing Address1140 Varnum St Ne Ste 202Washington, DC 20017-2153 · (202) 269-6430 · Fax (202) 269-6598
Fax(202) 269-6598
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 6, 2020
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1952930455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in DC · MD600004069✔ Licensed in MD · D0103759✔ Licensed in VA · 0101286594
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 79324 (CT)
1140 VARNUM ST NE STE 202, Washington, DC 20017

Other Names 1

Other Name (5)Dr. Brian Elwin Pablo Bustos Md

Secondary Practice Locations 2

Location 16408 Seven Corners Pl Ste CFalls Church, VA 22044-2011 · Phone (202) 269-6430 · Fax (202) 269-6598
Location 2100 Grand StNew Britain, CT 06052-2016 · Phone (860) 224-5011 · Fax (860) 224-5011

Other Identifiers 2

Medicaid387742600MD
Medicaid070107673DC

Accepted Insurance

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

Dr. Brian Pablo Bustos 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.

PECOS PAC ID8628508215
PECOS Enrollment IDI20250212000954, I20250929000675
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 Reassignments

3

Medicare enrollment records show Brian Bustos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
1140 VARNUM ST NE STE 202
Washington, DC 20017
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Bustos And Associates
  • 3 clinicians in this Medicare group
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
General Acute Care Hospital
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20017 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 3

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

Internal Medicine (Nephrology)
1140 VARNUM ST NE STE 202
WASHINGTON, DC 20017
Internal Medicine (Nephrology)
1140 VARNUM ST NE STE 202
WASHINGTON, DC 20017
Internal Medicine (Nephrology)
1140 VARNUM ST NE STE 202
WASHINGTON, DC 20017

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 Brian Bustos's NPI number?

The NPI number for Brian Bustos is 1952930455. It was assigned to this individual provider in the NPPES registry on April 6, 2020. The provider is also known as Dr. Brian Elwin Pablo Bustos MD.

Where is Brian Bustos located?

Brian Bustos practices at 1140 Varnum St NE Ste 202, Washington, DC 20017. The listed phone number is (202) 269-6430.

What is Brian Bustos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Brian Bustos enrolled in Medicare?

Yes. Brian Bustos 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 organizations bill Medicare for Brian Bustos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bustos reassigns Medicare benefits to 3 organizations: Bustos Associates LLC (Washington, DC), Midstate Medical Center (Meriden, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each 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 Brian Bustos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Bustos accept?

Health plans from Anthem Blue Cross and Blue Shield list Brian Bustos 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 Brian Bustos was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.