Peter Arthur Burgos, M.D.
Individual provider Active NPI Family Medicine Physician · Olathe, KS
NPI 1154767655 · NPPES record last updated May 11, 2013
Key facts
- NPI
- 1154767655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-24246 (KS)
- Practice address
- 1337 S Fountain Dr
Olathe, KS 66061-7205 - Phone
- (913) 397-7800
- Fax
- (913) 397-7801
- NPI assigned
- May 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rooks County Health Center
Minneola District Hospital NBR 2
Hamilton County Hospital
Practice addresses (Care Compare)
1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622
212 Main St
Minneola, KS 67865-8511
Phone (620) 885-4264
222 Main St
Minneola, KS 67865-8511
Phone (620) 885-4202
700 N Huser St
Syracuse, KS 67878-7700
Phone (620) 384-7350
Hospital & facility affiliations
- Minneola District Hospital
- Rooks County Health Center
- Hamilton County Hospital
- Lindsborg Community Hospital
- Community Memorial Healthcare, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190907000186 | KS | Practitioner - Family Practice | 9830428465 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01066005A | IN | MD | Family Medicine Physician |
| 04-21442 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton County Hospital | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Family Medicine | Current | Accepting new patients |
| Lindsborg Community Hospital Association | Current |
Accepting new patients | |
| Lincoln County Hospital | Current |
Accepting new patients | |
| Lincoln County Hospital | Current |
Accepting new patients | |
| Rooks County Health Center | Family Medicine | Current | Accepting new patients |
| Lindsborg Community Rural Health Clinic Inc | Current | Accepting new patients | |
| Hamilton County Hospital | Current |
Accepting new patients | |
| Rooks County Health Center | Current |
Accepting new patients | |
| Minneola District Hospital NBR 2 | Family Medicine | Current |
Accepting new patients |
| Minneola District Hospital NBR 2 | Current |
Accepting new patients | |
| Lindsborg Community Hospital Association | Current |
Accepting new patients | |
| Lindsborg Community Hospital Association | Current | Accepting new patients | |
| Rooks County Health Center | Family Medicine | Current |
Accepting new patients |
| Harrison County Community Hospital District | Past | Accepting new patients | |
| Vein-Ity Vein Care Centers of Kansas LLC | Past |
Accepting new patients |
Locations
624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403
605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308
222 Main St
Minneola, KS 67865
Phone (620) 885-4202
Interoperability endpoints
- peter.burgos.p1@direct.schcmed.nextgenshare.com
- peter.burgos.1@20767.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-24246 | KS | Yes |
| Family Medicine Physician | 207Q00000X | 04-21442 | OK | |
| Family Medicine Physician | 207Q00000X | 01066005A | IN |
Addresses
Primary practice location
1337 S Fountain Dr
Olathe, KS 66061-7205
Mailing address
11701 S 101St East Ave
Bixby, OK 74008-2230
Phone (918) 417-0074
Other providers in Olathe, KS
- Delaney Burbee
- Ron D Burch
- Andrea Nicole Burcham
- Margaret E Burghart
- Ronald J Burgmeier
- Katrina Ruby Burks
- Schylar Burleson
- McKenzie Burnett
- Nichole K Burnett
- Leah D. Burnison
All providers in Olathe, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.