Individual provider Active NPI

Gail M Pezzullo-Burgs, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1073537551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0047639 Issued in FL
Practice address
1050 NW 15TH St
#215A
Boca Raton, FL 33486-1375
Phone
(561) 392-7704
Fax
(561) 392-8103
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0047639 FL Primary

Addresses

Primary practice location

1050 NW 15TH St
#215A
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St
#215A
Boca Raton, FL 33486-1375
Phone (561) 392-7704

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000704 FL Practitioner - Obstetrics/Gynecology 6204809098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1605 Town Ctr Cir
Weston, FL 33326-3637
Phone (954) 436-7667

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0047639FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jun 14, 2005 Accepting new patients
All Womens Healthcare of Sunrise Inc Obstetrics & Gynecology Past Accepting new patients
Gjorgji Trnovski MD PA Past Accepting new patients
All Womens Healthcare of Sunrise Inc Obstetrics & Gynecology Past Accepting new patients

Locations

951 NW 13th St
Ste 4D
Boca Raton, FL 33486
Phone (561) 361-0065

1050 NW 15th St
Ste 215A
Boca Raton, FL 33486
Phone (561) 392-7704

2500 N Military Trl
Ste 111
Boca Raton, FL 33431
Phone (561) 218-0767

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

17130 Royal Palm Blvd
Ste 1
Weston, FL 33326
Phone (954) 276-1366

1605 Town Center Blvd
Ste A
Weston, FL 33326

Interoperability endpoints

  • Direct secure messaging: gail.pezzulloburgs@toplinemd.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073537551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "#215A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-392-7704",
            "fax_number": "561-392-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "#215A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-392-7704",
            "fax_number": "561-392-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZULLO-BURGS",
        "first_name": "GAIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0047639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.