MIRJANA VUSTAR (MD) – Pediatric Anesthesiology Physician, NPI 1871514786
Pediatric Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIRJANA VUSTAR (MD)
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
ONE HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 882-2568
Fax: (855) 903-0985
Type: Location
CNN, 6430, West Sunset Boulevard, Hollywood, Los Angeles, Los Angeles County, California, 90028, United States
SUITE 600
LOS ANGELES, CA 900287901
Phone: (323) 361-2453
Fax: (323) 361-8491
Type: Mailing
West Sunset Boulevard, Hollywood, Los Angeles, Los Angeles County, California, 90028-8127, United States
LOS ANGELES, CA 900276062
Phone: (323) 361-5591
Fax: (323) 361-1001
Type: Location
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: 2015-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060215000195 | I | Anesthesiology | CA | TBD |
| I20150908002091 | I | Anesthesiology | MO | TBD |
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.
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 64184)
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Group practice members
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