Mackenzie Burger, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

12307954-1205 Issued in UT

Practice address

6071 W Outer Dr
Detroit, MI 48235-2624

Phone

(313) 966-1020

Fax

(313) 966-1024

NPI assigned

Apr 2, 2018

Last updated

Jun 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Specialty

Emergency Medicine

Education

Central Michigan College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Emergency Services LLCGroup PAC ID 1850785296, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Castleview Hospital Hospital, Price, UT, CCN 460011

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Emergency Services, LLC

  • Emergency Medicine Physician
  • Price, UT
  • NPI 1548929565
  Medicare reassignment Care Compare group NPD
• Castleview Physician Practice LLC

  • Pediatrics Physician
  • Price, UT
  • NPI 1013364884
  Medicare reassignment NPD
• Castleview Physician Practice, LLC

  dba Castleview Urgent Care

  • Family Medicine Physician
  • Price, UT
  • NPI 1326569245
  NPD
• Castleview Physician Practice, LLC

  dba Ateeq-Ahmed Patel, MD

  • Surgery Physician
  • Price, UT
  • NPI 1396985693
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Castleview Hospital LLC

  dba Castleview Hospital

  • Rural Acute Care Hospital
  • Price, UT
  • NPI 1417064205
  Care Compare affiliation

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1154827905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HOSPITAL DR",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014218",
            "telephone_number": "435-637-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-1020",
            "fax_number": "313-966-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "MACKENZIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "12307954-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Marie Burden, LLBSW
• Cheryl Nannette Burden, BS
• Evangeline V Burden, LMSW
• Morgan Burdette
• Judith Burford
• Alphia Ramona Burgess
• Ashley Burgess
• Francine D Burgess, DPT
• Henry Matthew Burghardt, DO
• Burhani Labs Inc (Reliable Physicians Lab)

• Emergency Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.

Verify at the official NPI Registry.