Richard Burgess

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109174 Issued in FL

Practice address

3840 Colonial Blvd Ste 1
Fort Myers, FL 33966-1126

Phone

(855) 778-6262

Fax

(855) 778-3262

NPI assigned

Oct 21, 2015

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

You and Your Health Family Care IncGroup PAC ID 9335282771, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIIIAD/Endpoint/JIIIAD
• Direct secure messaging: richard.burgess.1@17743.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• You and Your Health Family Care Inc

  • Family Medicine Physician
  • Tavares, FL
  • NPI 1972696011
  Medicare reassignment Care Compare group
• Fort Myers Internal Medicine LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1346588621
  Medicare reassignment
• Keys Cardiology PA

  • Cardiovascular Disease Physician
  • Lehigh Acres, FL
  • NPI 1386740033
  Medicare reassignment
• Personal Family Health Care

  • Family Medicine Physician
  • Lehigh Acres, FL
  • NPI 1689672602
  Medicare reassignment
• Ante Rudez MD PA

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1356595680
  NPD (past)
• Elk River Physicians Group, PLLC

  • Podiatrist
  • Winchester, TN
  • NPI 1386686806
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1003288754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 COLONIAL BLVD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661126",
            "telephone_number": "855-778-6262",
            "fax_number": "855-778-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 COLONIAL BLVD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661126",
            "telephone_number": "855-778-6262",
            "fax_number": "855-778-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-21",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Patrick Burdzy, DO
• Frederick J. Burford II, D.O.
• Burg Foot & Ankle PA
• Carrie Burgess
• Kaylee Burgess
• Kenadee Burgoyne
• Peggy Burk, CRNA
• Krizia Kiziswa Burke-Forde
• Brandi Leigh Burke, LCSW
• Celia M Burke

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.