Active NPI
Christine Renee Burgess, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- M7343
- Practice address
- 3445 Executive Center Drive
Ste 250
Austin, TX 78731-1678 - Phone
- (512) 579-4000
- Fax
- (512) 439-2814
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 054758 | GA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | M7343 | TX | Primary |
Addresses
Primary practice location
3445 Executive Center Drive
Ste 250
Austin, TX 78731-1678
Mailing address
3445 Executive Center Drive
Ste 250
Austin, TX 78731-1678
Phone (512) 579-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AN450 | Other | TX | BCBSTX |
| 189996502 | Other | TX | CSHCN |
| 189996501 | Medicaid | TX | |
| 189996503 | Medicaid | TX |
Other names 1
- Christine Renee Burgess
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical School at San Antonio, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054758 | GA | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurt, Jacknow, Moore, Connor, Wells, Michels, Yurco, Listrom & Huang | Current | Accepting new patients | |
| Austin Pathology Associates | Current | Accepting new patients | |
| Austin Pathology Associates | Past | Accepting new patients | |
| Travis Pathology Associates PA | Past | Accepting new patients | |
| Travis Pathology Associates PA | Past | Accepting new patients |
Locations
3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
601 E 15th St
Austin, TX 78701
Phone (512) 324-7868
9200 Wall St
Austin, TX 78754
Phone (512) 339-1275
3445 Executive Center Dr
Ste 250
Austin, TX 78731
Phone (512) 339-1275
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1538172028
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1255395810
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1669414330
-
- Anatomic Pathology & Clinical Pathology Physician
- Georgetown, TX
- NPI 1477719490
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1922264944
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1083838809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DRIVE",
"address_2": "STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-439-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 EXECUTIVE CENTER DRIVE",
"address_2": "STE 250",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787311678",
"telephone_number": "512-579-4000",
"fax_number": "512-439-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "CHRISTINE",
"middle_name": "RENEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "GA",
"license": "054758",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "TX",
"license": "M7343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8AN450",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "189996502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189996501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189996503",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "BURGESS",
"middle_name": "RENEE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.