Individual provider Active NPI

Shiloe Souza Burzinski, MD

  • Obstetrics & Gynecology Physician
  • Beverly, MA
National Provider Identifier
1134310311
Registry record updated Nov 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q1108 Issued in TX
Practice address
83 Herrick St Ste 2004
Beverly, MA 01915-2757
Phone
(978) 927-4800
Fax
(978) 777-4792
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2023

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 Q1108 TX Primary

Addresses

Primary practice location

83 Herrick St Ste 2004
Beverly, MA 01915-2757

Mailing address

83 Herrick St Ste 2004
Beverly, MA 01915-2757
Phone (978) 927-4800

Other practice location 1

109 Commercial St
Malden, MA 02148-5509
Phone (781) 388-4160

Other identifiers 1

IdentifierTypeStateIssuer
4656869471OtherMYUTMB 4656869471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110912000532 MA Practitioner - Obstetrics/Gynecology 0042481673 Reassigns benefits to 3 organizations
I20140926001772 TX Practitioner - Obstetrics/Gynecology 0042481673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Womens HealthcareGroup PAC ID 3476813239, 10 clinicians

Practice addresses (Care Compare)

800 W Cummings Park
Woburn, MA 01801-6372
Phone (781) 787-3003

Hospital & facility affiliations

  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New England Womens Healthcare Obstetrics & Gynecology CurrentSince Jan 23, 2024 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Nov 8, 2021 Accepting new patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Nov 8, 2021 Accepting new patients
Essex County OBGYN Assoc Inc Obstetrics & Gynecology CurrentSince Aug 20, 2020 Accepting new patients
Utmb Faculty Group Practice Obstetrics & Gynecology CurrentSince Aug 11, 2014 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Past Accepting new patients
Hallmark Health Medical Associates Inc Obstetrics & Gynecology PastSince Aug 27, 2015 Accepting new patients

Locations

83 Herrick St
Ste 2004
Beverly, MA 01915
Phone (978) 927-4800

140 Commonwealth Ave
Ste 208
Danvers, MA 01923
Phone (978) 232-5538

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

800 W Cummings Park
Ste 4050
Woburn, MA 01801
Phone (781) 787-3003

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

Interoperability endpoints

  • Direct secure messaging: sburzinskimd15266@direct.utmb.edu
  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1134310311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST STE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800",
            "fax_number": "978-777-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST STE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800",
            "fax_number": "978-777-4792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Commercial St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021485509",
            "country_code": "US",
            "telephone_number": "781-388-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURZINSKI",
        "first_name": "SHILOE",
        "middle_name": "SOUZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4656869471",
            "identifier": "4656869471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.