Active NPI
Kathleen Burgess, MD
- Family Medicine Physician
- Brattleboro, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 042.0011317
- Practice address
- 19 Belmont Ave Ste 103
Brattleboro, VT 05301-6761 - Phone
- (802) 258-3905
- NPI assigned
- Jan 23, 2006
- Last updated
- Jun 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 209588 | MA | |
| Family Medicine Physician | 207Q00000X | 042.0011317 | VT | Primary |
Addresses
Primary practice location
19 Belmont Ave Ste 103
Brattleboro, VT 05301-6761
Mailing address
600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140
Other practice location 1
21 Belmont Ave
Brattleboro, VT 05301-7110
Phone (802) 258-3905 ext. 111
Other practice location 2
338 Montague City Rd
Turners Falls, MA 01376-1830
Phone (413) 772-3748 ext. 111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301128 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drburgess@pchpmd.medentdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Belmont Ave
Brattleboro, VT 05301-7110
Phone (802) 258-3905
6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209588 | MA | MD | Family Medicine Physician |
| 042.0011317 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Health Partners - New York LLP | Family Medicine | Current | Accepting new patients |
| Primary Care Health Partners - Vermont LLP | Family Medicine | Current | Accepting new patients |
| Primary Care Health Partners | Past | Accepting new patients | |
| Conemaugh Health Initiatives | Family Medicine | Past | Accepting new patients |
| Primary Care Health Partners | Past | Accepting new patients | |
| Southern Vermont Health Services Corp | Past | Accepting new patients |
Locations
19 Belmont Ave
Ste 103
Brattleboro, VT 05301
Phone (802) 257-1444
51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521
600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140
66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327
Interoperability endpoints
- drburgess@pchpmd.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Williston, VT
- NPI 1285687616
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
- Family Medicine Physician
- Plattsburgh, NY
- NPI 1003861782
-
- Pediatrics Physician
- S Burlington, VT
- NPI 1295792745
-
- Pediatrics Physician
- Brattleboro, VT
- NPI 1740246925
-
- General Practice Physician
- Brattleboro, VT
- NPI 1952319220
-
- Family Medicine Physician
- New Paris, PA
- NPI 1487724597
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- White River Junction, VT
- NPI 1063963148
-
- Home Health Agency
- Williston, VT
- NPI 1114229937
-
- Home Health Agency
- Rutland, VT
- NPI 1861794687
-
- Home Health Agency
- Brattleboro, VT
- NPI 1891097614
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1265402382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BLAIR PARK RD STE 285",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957586",
"telephone_number": "802-288-1140",
"fax_number": "802-288-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BELMONT AVE STE 103",
"city": "BRATTLEBORO",
"state": "VT",
"postal_code": "053016761",
"telephone_number": "802-258-3905"
}
],
"practiceLocations": [
{
"address_1": "21 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Brattleboro",
"state": "VT",
"postal_code": "053017110",
"country_code": "US",
"telephone_number": "802-258-3905 x111",
"fax_number": "802-258-4903",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "338 Montague City Rd",
"address_purpose": "LOCATION",
"city": "Turners Falls",
"state": "MA",
"postal_code": "013761830",
"country_code": "US",
"telephone_number": "413-772-3748 x111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "209588",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042.0011317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1301128",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drburgess@pchpmd.medentdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "19 Belmont Ave Ste 103",
"city": "Brattleboro",
"state": "VT",
"country_code": "US",
"postal_code": "053016761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.