Individual provider Active NPI

Laura Burgos, M.D.

  • Pediatrics Physician
  • Sunnyvale, TX
National Provider Identifier
1285780429
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L5262 Issued in TX
Practice address
2820 N Belt Line Rd Ste 100
Sunnyvale, TX 75182-9388
Phone
(972) 288-6189
Fax
(972) 698-7641
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L5262 TX Primary

Addresses

Primary practice location

2820 N Belt Line Rd Ste 100
Sunnyvale, TX 75182-9388

Mailing address

2820 N Belt Line Rd Ste 100
Sunnyvale, TX 75182-9388
Phone (972) 288-6189

Other identifiers 2

IdentifierTypeStateIssuer
010562155MedicaidTX
165082201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5262TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Buddies Pediatrics PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lburgosorta339004@directhoustonmethodist.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1285780429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N BELT LINE RD STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829388",
            "telephone_number": "972-288-6189",
            "fax_number": "972-698-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 N BELT LINE RD STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829388",
            "telephone_number": "972-288-6189",
            "fax_number": "972-698-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L5262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010562155",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165082201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.