Individual provider Active NPI

Osvaldo Burgos-Iturrino, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1427548403
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13425 Issued in TX
Practice address
18152 Preston Rd Ste I-2
Dallas, TX 75252-5427
Phone
(469) 200-2832
Fax
(469) 269-1074
NPI assigned
May 15, 2018
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13425 TX Primary

Addresses

Primary practice location

18152 Preston Rd Ste I-2
Dallas, TX 75252-5427

Mailing address

18152 Preston Rd Ste I-2
Dallas, TX 75252-5427
Phone (469) 200-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180706002229 FL Practitioner - Physician Assistant 6305192295 Reassigns benefits to 1 organization
I20200520002437 TX Practitioner - Physician Assistant 6305192295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Jun 11, 2018 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Jun 11, 2018 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: oburgositurrino1592152@direct.texashealth.org
  • Direct secure messaging: sport.osvaldoburgositurrino@155660.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1427548403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18152 PRESTON RD STE I-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525427",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18152 PRESTON RD STE I-2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525427",
            "telephone_number": "469-200-2832",
            "fax_number": "469-269-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS-ITURRINO",
        "first_name": "OSVALDO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.