Individual provider Active NPI

Jorge Y Burgos, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1639275969
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10622 Issued in NV
Practice address
750 N Eastern Ave Ste 100
Las Vegas, NV 89101-2850
Phone
(702) 227-0022
Fax
(702) 227-0084
NPI assigned
Sep 15, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10622 NV Primary

Addresses

Primary practice location

750 N Eastern Ave Ste 100
Las Vegas, NV 89101-2850

Mailing address

750 N Eastern Ave Ste 100
Las Vegas, NV 89101-2850
Phone (702) 227-0022

Other names 1

  • Jorge Y Burgos Cabrera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080917000173 NV Practitioner - Internal Medicine 6204903206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 N Eastern Ave
Suite 100
Las Vegas, NV 89101-2850
Phone 70222700225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10622NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Burgos, MD Internal Medicine Current Accepting new patients

Locations

1815 E Lake Mead Blvd
Ste 314
North Las Vegas, NV 89030
Phone (702) 209-2879

Interoperability endpoints

  • Direct secure messaging: jorge.burgos@83424096813060.direct.elationemr.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, 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1639275969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012850",
            "telephone_number": "702-227-0022",
            "fax_number": "702-227-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012850",
            "telephone_number": "702-227-0022",
            "fax_number": "702-227-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JORGE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "BURGOS CABRERA",
            "middle_name": "Y",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.