Roxanne L Burgess, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

NC461 Issued in NC

Practice address

11030 S Tryon St
Ste 308
Charlotte, NC 28273-6545

Phone

(704) 504-1004

Fax

(704) 504-0007

NPI assigned

Nov 30, 2007

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Instride Foot and Ankle Specialists, PLLCGroup PAC ID 7012168271, 46 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roxanne.burgess@ifasp.eclinicaldirectplus.com

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.

• Instride Foot and Ankle Specialists, PLLC

  • Primary Podiatric Medicine Podiatrist
  • Concord, NC
  • NPI 1457601601
  Medicare reassignment Care Compare group NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Raleigh, NC
  • NPI 1073804712
  Medicare reassignment NPD
• Queen City Foot and Ankle Specialists

  • Specialist
  • Charlotte, NC
  • NPI 1629048566
  Authorized official Same address or phone
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Concord, NC
  • NPI 1255213997
  NPD
• Instride Foot and Ankle Specialists, PLLC

  • Primary Podiatric Medicine Podiatrist
  • King, NC
  • NPI 1063390862
  NPD

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1457533473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 S TRYON ST",
            "address_2": "STE 308",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736545",
            "telephone_number": "704-504-1004",
            "fax_number": "704-504-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 S TRYON ST",
            "address_2": "STE 308",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736545",
            "telephone_number": "704-504-1004",
            "fax_number": "704-504-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ROXANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "NC461",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "NC461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "081AV",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89081AV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "5564660001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPD461",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earle Frederik Burgess III, MD
• Jason Shade Burgess, MD
• Kelsey Burgess
• Laila Sinclair Burgess
• Lucia Goodwin Burgess, MD
• Shawn T Burgess, MD
• William Patrick Burgess, MD
• Kenneth Benjamin Burgett, PA-C
• Tara Blalock Burgher, DO
• S Beth Burgin, CERTIFIED ROLFER

• Podiatrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.