Burnaby Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BURNABY MEDICAL GROUP LLC

Doing business as

Burnaby Medical Group

Practice address

6909 Benjamin Way
Colleyville, TX 76034-1109

Phone

(405) 694-3989

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syed Tahsin Ahmed, DONPI 1477811321

Title

Member

Phone

(405) 694-3989

Specialties & licenses 1

Addresses

Other names 1

• Burnaby Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Tahsin Ahmed, D.O.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1477811321
  Medicare reassignment Care Compare group NPD Authorized official
• Lucy Cao Nguyen

  • Physician Assistant
  • Arlington, TX
  • NPI 1093331860
  Medicare reassignment Care Compare group NPD
• Anthony L Fajardo, N.P.

  • Acute Care Nurse Practitioner
  • Irving, TX
  • NPI 1407367592
  Medicare reassignment NPD
• Ashley Elizabeth Hall, FNP-C

  • Family Nurse Practitioner
  • Waxahachie, TX
  • NPI 1992326102
  Medicare reassignment NPD
• Alexander Lee Pendergrass, FNP-C

  • Family Nurse Practitioner
  • Bridgeport, TX
  • NPI 1982212841
  Medicare reassignment NPD
• Babita Upreti

  • Gerontology Nurse Practitioner
  • Colleyville, TX
  • NPI 1023711751
  Medicare reassignment

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1104510577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 BENJAMIN WAY",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341109",
            "telephone_number": "405-694-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 BENJAMIN WAY",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341109",
            "telephone_number": "405-694-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNABY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "TAHSIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-694-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnaby Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cuc Bui, O.D.
• Doan Bui, D.D.S.
• Silvia Beatriz Buitrago
• Emily Bullard
• Jeffrey M Bullard, MD
• Basil Omar Burney, M.D
• Tyronne A Bush, DO
• Jachin Byrd
• Kathryn S Byrd, DO
• Jill Ann Cahill, PT

• Internal Medicine Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.