Mr Kyle T Bussis, - Medicare Diagnostic Radiology in Detroit, MI

Mr Kyle T Bussis, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Detroit, Michigan. He went to Wayne State University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Evergreen Radia Llc, Radia Inc P S, Swedish Health Services, Public Hospital District No 4 King County Washington, Medford Radiological Group Pc, Tower Imaging Medical Associates Inc, Radia Oregon Radiology Medical Group Llc, Evergreen Radia Llc, Radia California Radiology Medical Group Inc, Radia Inc P S, County Of Santa Clara and his current practice location is 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-3581.

Mr Kyle T Bussis is licensed to practice in Arizona (license number 66671) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811422777.

Contact Information

Mr Kyle T Bussis,
2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department,
Detroit, MI 48202-2608
(313) 916-3581
Not Available

Map and Direction




Physician's Profile

Full NameMr Kyle T Bussis
GenderMale
SpecialityDiagnostic Radiology
Experience8 Years
Location2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kyle T Bussis attended and graduated from Wayne State University School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1811422777
  • Provider Enumeration Date: 04/27/2017
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577833185
  • Enrollment ID: I20220923002232

Medical Identifiers

Medical identifiers for Mr Kyle T Bussis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811422777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301509343 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology MD61373789 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology 66671 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlake Hospital Medical CenterBellevue, WAHospital
Providence Regional Medical Center EverettEverett, WAHospital
Evergreenhealth Medical CenterKirkland, WAHospital
Swedish Medical Center / Cherry HillSeattle, WAHospital
Providence St Peter HospitalOlympia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evergreen Radia Llc4587568076101
Radia Inc P S9931012812263
Swedish Health Services3173433067132
Public Hospital District No 4 King County Washington600270086174
Medford Radiological Group Pc206230332486
Tower Imaging Medical Associates Inc216360868881
Radia Oregon Radiology Medical Group Llc296185263795
Evergreen Radia Llc4587568076101
Radia California Radiology Medical Group Inc8921465998115
Radia Inc P S9931012812263
County Of Santa Clara1254244973824

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kyle T Bussis allows following entities to bill medicare on his behalf.
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20200313001484
Entity NameSouth Sound Radiologists Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902990500
PECOS PAC ID: 1254229305
Enrollment ID: O20220808002471
Entity NameEvergreen Radia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922095694
PECOS PAC ID: 4587568076
Enrollment ID: O20220811000481
Entity NameRadia Inc P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20220811002101
Entity NameSwedish Radia Imaging Center At Edmonds Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494373
PECOS PAC ID: 5496778292
Enrollment ID: O20220811002574
Entity NameRadia Imaging Center Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639653017
PECOS PAC ID: 6305182965
Enrollment ID: O20220811002836

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kyle T Bussis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kyle T Bussis,
2799 W Grand Blvd,
Detroit, MI 48202-2608

Ph: (313) 916-3581
Mr Kyle T Bussis,
2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department,
Detroit, MI 48202-2608

Ph: (313) 916-3581

Reviews and Comments


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