Ricardo M Burgos, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10796 Issued in HI

Practice address

1 Jarrett White Rd
Tripler Army Medical Center
Honolulu, HI 96859-5001

Phone

(808) 433-6393

Fax

(808) 433-4688

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI, MD, NY3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Ponce School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawaii Diagnostic Radiology Services LLCGroup PAC ID 0547253221, 16 clinicians

Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
• HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
• HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
• HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

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.

• Intellirad Imaging, LLC

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1073859484

  HI

  Medicare reassignment Care Compare group NPD
• Hawaii Diagnostic Radiology Services LLC

  dba Y & M Radiology

  • Diagnostic Radiology Physician
  • Honolulu, HI
  • NPI 1386714962
  Medicare reassignment Care Compare group
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment NPD
• Charter Radiology, LLC

  • Diagnostic Radiology Physician
  • Columbia, MD
  • NPI 1639506587

  HI

  Medicare reassignment NPD
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993

  HI

  Medicare reassignment NPD
• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Neuroradiology

  Medicare reassignment NPD
• Pulaski Radiologists LLC

  • Diagnostic Radiology Physician
  • Pulaski, VA
  • NPI 1487643557
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

• Columbia Hospital Corporation of South Broward

  dba HCA Florida Westside Hospital

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation
• Davie Medical Center, LLC

  dba HCA Florida University Hospital

  • General Acute Care Hospital
  • Davie, FL
  • NPI 1871182956
  Care Compare affiliation
• Kendall Healthcare Group, LTD.

  dba HCA Florida Kendall Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1710931522
  Care Compare affiliation
• Miami Beach Healthcare Group, LTD.

  dba HCA Florida Aventura Hospital

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation
• Plantation General Hospital L P

  dba Plantation General Hospital

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1144274317
  Care Compare affiliation
• Plantation General Hospital LP

  dba HCA Florida Mercy Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1023387479
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1326038167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-294 IKIIKI ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6393",
            "fax_number": "808-433-4688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "fax_number": "518-268-5534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3280",
            "fax_number": "518-471-3064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-525-1401",
            "fax_number": "518-525-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1401",
            "fax_number": "518-525-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "RICARDO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "318130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "318130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "10796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia R. Burdge, MD
• Daniel Shawn Burdick, MD
• Jeffrey A Burgess, DDS MSD
• Lawrence Peter Burgess, M.D.
• Kemp-Kyt Burgonio
• Stiven Buritica
• Henry W. K. Burke, AU.D.
• Kathleen Burke, OTR/L
• Mary Kathleen Burke, RBT
• William Ely Burkhalter Jr., MD

• Diagnostic Radiology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Diagnostic Radiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.