Miguel Burgos, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036103673 Issued in IL

Practice address

229 W Grand Avenue
Suite QW
Bensenville, IL 60106

Phone

(630) 422-1917

Fax

(630) 422-7226

NPI assigned

Feb 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20980/brand/1/csg/1/fhir/r4

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

• Burgos Fuentes Service Corporation

  • Primary Care Clinic/Center
  • Bensenville, IL
  • NPI 1154491348
  Medicare reassignment NPD Authorized official
• Progressive Medical Center SC

  • Internal Medicine Physician
  • Addison, IL
  • NPI 1629128319

  Family Medicine

  NPD (past)

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

• Elmhurst Memorial Hospital

  dba Endeavor Health Elmhurst Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1013058379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVENUE",
            "address_2": "SUITE QW",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "60106",
            "telephone_number": "630-422-1917",
            "fax_number": "630-422-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVENUE",
            "address_2": "SUITE QW",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "60106",
            "telephone_number": "630-422-1917",
            "fax_number": "630-422-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "MIGUEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103673",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brentwood Family Dental
• Bridgeway of Bensenville Independent Living LLC (Bridgeway Supportive Living Community)
• Bridgeway Senior Living LLC
• Brookfield Podiatry Center
• Burgos Fuentes Service Corporation
• Cecilie Butz
• Jason Alan Castator, M.D.
• Anna Crystal Chaidez, MD
• Vanessa Chimenti, BCBA
• Angel Chire, D.C.

• Family Medicine Physician in Bensenville, IL
• Providers in Bensenville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; 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.