Active NPI
Don L Burgio, M.D.
- Otolaryngology Physician
- Scottsdale, AZ
National Provider Identifier
1467441162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 36738
- Practice address
- 9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260 - Phone
- (480) 614-0499
- Fax
- (480) 614-4344
- NPI assigned
- Oct 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4301052018 | MI | |
| Otolaryngology Physician | 207Y00000X | 36738 | AZ | Primary |
Addresses
Primary practice location
9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260
Mailing address
9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260
Phone (480) 614-0499
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB052018 | Other | MI | LICENSE NUMBER |
| 1020128 | Other | MI | PHP |
| 1360211 | Other | MI | FIRST HEALTH |
| 0403802051 | Other | MI | BLUE CROSS |
| 4107103 | Medicaid | MI | |
| 5284809 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36738 | AZ | MD | Otolaryngology Physician |
| 4301052018 | MI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley ENT, PC | Otolaryngology | Past | Accepting new patients |
| ENT Associates of Jackson, P.C. | Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- don.burgio@1028.chartlogic.direct-ci.com
Organizations & group practices 2
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
- Tucson, AZ
- NPI 1770852600
-
- Otolaryngology Physician
- Jackson, MI
- NPI 1922109438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1467441162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE",
"address_2": "SUITE 250",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-614-0499",
"fax_number": "480-614-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9097 E DESERT COVE AVE",
"address_2": "SUITE 250",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-614-0499",
"fax_number": "480-614-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIO",
"first_name": "DON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301052018",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "36738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "DB052018",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "1020128",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1360211",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0403802051",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4107103",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5284809",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.