DR. EDWARD JAMES JR. BUSICK (M.D.) – Internal Medicine Physician, NPI 1467436931

DR. EDWARD JAMES JR. BUSICK (M.D.) is a healthcare provider. based in Waltham, Massachusetts. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 40958 (MA). The NPI Number for DR. EDWARD JAMES JR. BUSICK (M.D.) is 1467436931

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD JAMES JR. BUSICK (M.D.)
NPI
1467436931
Phone
(781) 647-0855
Address
20 HOPE AVENUE
Enumeration Date
30 November 2005
Last Update Date
22 February 2012

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7816470855
Graduation Year
1972 (54 years ago)
PAC ID
1951342658
Professional Enrollment ID
I20100913001059
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. EDWARD JAMES JR. BUSICK (M.D.)

  • 20, Hope Avenue, Riverview, Waltham, Middlesex County, Massachusetts, 02453, United States

    SUITE 211

    WALTHAM, MA 024532717

    Phone: (781) 647-0855

    Fax: (781) 647-9142

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100913001059IEndocrinologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02453)

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Reviews

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Frequently asked questions

Is there an official ID for DR. EDWARD JAMES JR. BUSICK (M.D.) in U.S. healthcare records?
The official identifier for DR. EDWARD JAMES JR. BUSICK (M.D.) is NPI 1467436931.
Is DR. EDWARD JAMES JR. BUSICK (M.D.) shown as active in public data?
Registry records indicate DR. EDWARD JAMES JR. BUSICK (M.D.) maintains an active NPI.
What area of care is associated with DR. EDWARD JAMES JR. BUSICK (M.D.)?
DR. EDWARD JAMES JR. BUSICK (M.D.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EDWARD JAMES JR. BUSICK (M.D.)?
Directory geography for DR. EDWARD JAMES JR. BUSICK (M.D.) centers on Waltham, Massachusetts.
When was this NPI issued?
Enumeration for DR. EDWARD JAMES JR. BUSICK (M.D.) is noted as November 30, 2005 where the registry provides it.

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