Active NPI
Molly Petrine Burges, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- ME133497
- Practice address
- 52 W Underwood St
Orlando, FL 32806-1110 - Phone
- (321) 841-5111
- NPI assigned
- Apr 4, 2013
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME133497 | FL | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A134147 | CA |
Addresses
Primary practice location
52 W Underwood St
Orlando, FL 32806-1110
Mailing address
2786 Pepper LN
Orlando, FL 32812-5842
Other practice location 1
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 573-8984
Other practice location 2
2445 Park Lane Rd
Tavares, FL 32778
Phone (407) 208-8791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of South Florida College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210
201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134147 | CA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| ME133497 | FL | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
Interoperability endpoints
- mburges2024622@oc.providencedirect.org
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1316280662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2786 PEPPER LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328125842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "321-841-5111"
}
],
"practiceLocations": [
{
"address_1": "1165 Montgomery Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954054801",
"country_code": "US",
"telephone_number": "707-573-8984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2445 Park Lane Rd",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "32778",
"country_code": "US",
"telephone_number": "407-208-8791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGES",
"first_name": "MOLLY",
"middle_name": "PETRINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME133497",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A134147",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.