Active NPI
John D Burgoyne, MD
- Otolaryngology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00034623
- Practice address
- 12201 Renfert Way
Austin, TX 78758-5354 - Phone
- (512) 277-7500
- Fax
- (972) 984-1376
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD00034623 | WA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD00034623 | WA | |
| Otolaryngology Physician | 207Y00000X | MD00034623 | WA | Primary |
Addresses
Primary practice location
12201 Renfert Way
Austin, TX 78758-5354
Mailing address
12201 Renfert Way
Austin, TX 78758-5354
Phone (512) 277-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8206468 | Medicaid | WA | |
| BU5281 | Other | WA | REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Utah School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12201 Renfert Way
245 Austin ENT and Allergy
Austin, TX 78758-5368
Phone (512) 277-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00034623 | WA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The ENT & Allergy Centers of Texas, PLLC | Otolaryngology | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Richard D Thrasher III MD PA | Otolaryngology | Past | Accepting new patients |
Locations
12201 Renfert Way
Ste 245
Austin, TX 78758
Phone (512) 277-7500
5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060
515 Minor Ave
Ste 140
Seattle, WA 98104
Phone (206) 682-6103
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Organizations & group practices 5
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.
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1144470873
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Obstetrics & Gynecology Physician
- Seattle, WA
- NPI 1326584673
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1720273287
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1467410613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-277-7500",
"fax_number": "972-984-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-277-7500",
"fax_number": "972-984-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOYNE",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "WA",
"license": "MD00034623",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD00034623",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00034623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8206468",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "BU5281",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.