Individual provider Active NPI

Rachel G Burgan, MD

  • Pediatrics Physician
  • Timonium, MD
National Provider Identifier
1629172143
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0058921 Issued in MD
Practice address
2600 Pot Spring Rd
Health Office
Timonium, MD 21093-2732
Phone
(410) 252-4000
Fax
(410) 252-0869
NPI assigned
Sep 13, 2006
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0058921 MD Primary

Addresses

Primary practice location

2600 Pot Spring Rd
Health Office
Timonium, MD 21093-2732

Mailing address

2600 Pot Spring Rd
Health Office
Timonium, MD 21093-2732
Phone (410) 252-4000

Other identifiers 20

IdentifierTypeStateIssuer
21378495OtherCIGNA RACHEL BURGAN
4348015OtherAETNA SHARI COHEN
8128OtherAMERIGROUP SHARI COHEN
E6370002OtherBLUE CHOICE SHARI COHEN
275376OtherMAMSI SHARI COHEN
4334238OtherAETNA RONA STEIN
8127075OtherOPT CHOICE RACHEL BURGAN
274379OtherMAMSI RONA STEIN
21378495OtherCIGNA RONA STEIN
40303109OtherBCBS MD RONA STEIN
874379OtherOPT CHOICE RONA STEIN
21378495OtherCIGNA SHARI COHEN
235997OtherAMERIGROUP RACHEL BURGAN
52896007OtherBCBS MD SHARI COHEN
6936OtherAMERIGROUP RONA STEIN
876376OtherOPT CHOICE SHARI COHEN
2127075OtherMAMSI RACHEL BURGAN
E6370006OtherBLUE CHOICE RACHEL BURGAN
E6370004OtherBLUE CHOICE RONA STEIN
7561382OtherAETNA RACHEL BURGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130823000158 MD Practitioner - Pediatric Medicine 8628211620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058921MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. CurrentSince Jul 1, 2013 Accepting new patients

Locations

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

6501 N Charles St
Rm D228
Towson, MD 21204

Organizations & group practices 1

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1629172143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 POT SPRING RD",
            "address_2": "HEALTH OFFICE",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932732",
            "telephone_number": "410-252-4000",
            "fax_number": "410-252-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 POT SPRING RD",
            "address_2": "HEALTH OFFICE",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932732",
            "telephone_number": "410-252-4000",
            "fax_number": "410-252-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGAN",
        "first_name": "RACHEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0058921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA RACHEL BURGAN",
            "identifier": "21378495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA SHARI COHEN",
            "identifier": "4348015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP SHARI COHEN",
            "identifier": "8128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE SHARI COHEN",
            "identifier": "E6370002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI SHARI COHEN",
            "identifier": "275376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA RONA STEIN",
            "identifier": "4334238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT CHOICE RACHEL BURGAN",
            "identifier": "8127075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI RONA STEIN",
            "identifier": "274379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA RONA STEIN",
            "identifier": "21378495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD RONA STEIN",
            "identifier": "40303109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT CHOICE RONA STEIN",
            "identifier": "874379",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA SHARI COHEN",
            "identifier": "21378495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP RACHEL BURGAN",
            "identifier": "235997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD SHARI COHEN",
            "identifier": "52896007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP RONA STEIN",
            "identifier": "6936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT CHOICE SHARI COHEN",
            "identifier": "876376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI RACHEL BURGAN",
            "identifier": "2127075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE RACHEL BURGAN",
            "identifier": "E6370006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE RONA STEIN",
            "identifier": "E6370004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA RACHEL BURGAN",
            "identifier": "7561382",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.