✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RP1001X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

SERGIO BURES, MD (NPI #1972685675)

Internal Medicine, Pulmonary Disease • KATONAH, NY • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1972685675
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RP1001X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
111 BEDFORD RD, CARE MOUNT MEDICAL PC, KATONAH, NY, 10536-2115
✓ 9-Digit EDI 837 ZIP+4 (10536-2115)
Practice Phone & Referral Fax
Fax: (914) 242-1516
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972685675 (SERGIO BURES, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1972685675)

Medicare Beneficiaries
609
Total Billed Services
2,629
Distinct CPT/HCPCS Codes
55
Medicare Allowed Total
$221,035.21

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
36415 Insertion of needle into vein for collection of blood sample86
80053 Blood test, comprehensive group of blood chemicals47
84439 Thyroxine (thyroid chemical), free18
84443 Blood test, thyroid stimulating hormone (tsh)18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count52
86431 Rheumatoid factor level16
87389 Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies15
90480 Admn sarscov2 vacc 1 dose11

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Advair Hfa
Fluticasone Propion/Salmeterol
12<11
Albuterol Sulfate Hfa
Albuterol Sulfate
376203
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
22364
Arnuity Ellipta
Fluticasone Furoate
16452
Asmanex
Mometasone Furoate
12<11
Azelastine Hcl
Azelastine Hcl
272125
Azithromycin
Azithromycin
23<11
Breo Ellipta
Fluticasone/Vilanterol
701170

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1972685675 (NPI-1 Individual Practitioner)
Provider / Legal NameSERGIO BURES, MD
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RP1001X (Internal Medicine, Pulmonary Disease)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address111 BEDFORD RD, CARE MOUNT MEDICAL PC, KATONAH, NY, 10536-2115
Practice Telephone / FaxTel: (914) 232-3135 | Fax: (914) 242-1516
Administrative Mailing Address110 S BEDFORD RD, MOUNT KISCO, NY, 10549-3446
Enumeration & Last SyncEnumerated: 2006-10-20 | CMS Record Updated: 2016-11-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

111 BEDFORD RD, CARE MOUNT MEDICAL PC, KATONAH, NY, 10536-2115

🗺️ Open in Google Maps 🏥 More Providers in KATONAH

Plain-English Taxonomy & CMS Crosswalk (207RP1001X)

What Does Taxonomy Code 207RP1001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RP1001X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 29 (Physician/Pulmonary Disease)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SERGIO BURES, MD)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RP1001X — Internal Medicine, Pulmonary Disease
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: NY | License: 201005 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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