Active NPI
Shiloe Souza Burzinski, MD
- Obstetrics & Gynecology Physician
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q1108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4656869471 | Other | MYUTMB 4656869471 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
800 W Cummings Park
Woburn, MA 01801-6372
Phone (781) 787-3003
Hospital & facility affiliations
- Winchester Hospital
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Womens Healthcare | Obstetrics & Gynecology | Current | Accepting new patients |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Essex County OBGYN Assoc Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Utmb Faculty Group Practice | Obstetrics & Gynecology | Current | Accepting new patients |
| Beth Israel Lahey Health Specialty Care, Inc. | Past | Accepting new patients | |
| Hallmark Health Medical Associates Inc | Obstetrics & Gynecology | Past | 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
- sburzinskimd15266@direct.utmb.edu
- https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
- 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.
-
- Obstetrics & Gynecology Physician
- Woburn, MA
- NPI 1881120202
-
- Clinic/Center
- Middleboro, MA
- NPI 1568292423
-
- Obstetrics & Gynecology Physician
- Beverly, MA
- NPI 1538275870
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Obstetrics & Gynecology
-
- Urology Physician
- Burlington, MA
- NPI 1043710791
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Family Medicine Physician
- Medford, MA
- NPI 1770563900
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; 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.