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DR. SANTOSH J. BHUSAL M.D.
NPI 1962631051
Internal Medicine in Pittsburgh, PA

Active since July 09, 2009PECOS Enrolled
79.48/100
CMS Quality Rating
580 S AIKEN AVE, SUITE 430, PITTSBURGH, PA 15232(412) 682-2434(412) 682-1044 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Santosh J. Bhusal M.d. NPPES

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

DR. SANTOSH J. BHUSAL M.D. (NPI 1962631051) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD446214) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962631051
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANTOSH J. BHUSALCredential: M.D.
Location Address580 S AIKEN AVE, SUITE 430Pittsburgh, PA 15232-1531
Mailing Address2 Hot Metal St, Quantum One, Suite 001Pittsburgh, PA 15203-2348 · (412) 647-3087 · Fax (412) 432-5640
Phone(412) 682-2434
Fax(412) 682-1044
Sole ProprietorNo
Enumeration DateJuly 9, 2009
Last NPPES UpdateDecember 9, 2016
✔ NPI 1962631051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD446214✔ Licensed in OH · 57-015946
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.
580 S AIKEN AVE, Pittsburgh, PA 15232
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Santosh J. Bhusal 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 Reassignments

3

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

University Of Pittsburgh Physicians
Same address
Internal Medicine
580 S AIKEN AVE, SUITE 300
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1871622043 (412) 687-5040
University Hospitals Medical Group Inc
114 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Milton S Hershey Medical Center Physicians Group
154 mi
Family Medicine
140 OLD WILLOW MILL RD
Mechanicsburg, PA 17050
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1235678939 (717) 766-4635

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 15232 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

BARBARA ANNE IVANKO LCSW
Social Worker (Clinical)
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-3023
ANGELA MAKALINAO GUERRERO MD
Dermatology
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 681-1072
DR. TAMMY DEGREGORIO D.M.D.
Dentist (General Practice)
580 S AIKEN AVE, SUITE 620
PITTSBURGH, PA 15232
Allegheny County (412) 621-5353
JEAN YOU PA-C
Physician Assistant
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 681-1072
ANDREEA COCA MD
Internal Medicine (Rheumatology)
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 586-3550
MRS. KATE WICHMANN SHERMAN LPC
Counselor (Professional)
580 S AIKEN AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-3023
NOAH BASS
Internal Medicine (Rheumatology)
580 S AIKEN AVE, SUITE 430
PITTSBURGH, PA 15232
Allegheny County (412) 682-2434
WOMENS GYNECOLOGIC ASSOCIATES, PC
Obstetrics & Gynecology (Gynecology)
580 S AIKEN AVE, SUITE 500
PITTSBURGH, PA 15232
Allegheny County (412) 688-3653

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 Santosh Bhusal's NPI number?

The NPI number for Santosh Bhusal is 1962631051. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Santosh Bhusal located?

Santosh Bhusal practices at 580 S Aiken Ave Suite 430, Pittsburgh, PA 15232. The listed phone number is (412) 682-2434.

What is Santosh Bhusal's specialty?

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

Is Santosh Bhusal enrolled in Medicare?

Yes. Santosh Bhusal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Santosh Bhusal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santosh Bhusal reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), University Hospitals Medical Group Inc (Cleveland, OH) and Milton S Hershey Medical Center Physicians Group (Mechanicsburg, PA). 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 Santosh Bhusal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Santosh Bhusal was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.