Individual provider Active NPI

Anthony W Burgess, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
National Provider Identifier
1669606398
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2014009215 Issued in MO
Practice address
12340 Quivira Rd
Overland Park, KS 66213-2408
Phone
(872) 231-3162
Fax
(702) 977-1496
NPI assigned
May 9, 2009
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2014009215 MO Primary
Physical Medicine & Rehabilitation Physician 208100000X 04-38524 KS

Addresses

Primary practice location

12340 Quivira Rd
Overland Park, KS 66213-2408

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

5050 Ward Pkwy
Kansas City, MO 64112-2505
Phone (512) 630-3214

Other identifiers 4

IdentifierTypeStateIssuer
30004618520001MedicaidKS
1669606398MedicaidMO
P01343894OtherMORR MEDICARE
P02078315OtherKSMEDICARERR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140618000153 MO Practitioner - Physical Medicine and Rehabilitation 1052553385 Reassigns benefits to 1 organization
I20160329002178 KS Practitioner - Physical Medicine and Rehabilitation 1052553385 Reassigns benefits to 1 organization
I20240613002826 OK Practitioner - Physical Medicine and Rehabilitation 1052553385 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-38524KSMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince May 1, 2014 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince May 1, 2014 Accepting new patients
Rejuv Medical, P.a. Past Accepting new patients

Locations (25 of 73)

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

7600 Antioch Rd
Overland Park, KS 66204
Phone (913) 383-2001

202 S Bridge St
Linden, MI 48451
Phone (810) 735-9400

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887

7068 S Outer 364
O Fallon, MO 63368
Phone (636) 240-6100

1244 Woodland Loop
Bartlesville, OK 74006
Phone (918) 335-3222

3434 Kentucky Pl
Bartlesville, OK 74006
Phone (918) 333-9000

6006 SE Adams Blvd
Bartlesville, OK 74006
Phone (405) 843-5855

6912 NW 23rd St
Bethany, OK 73008
Phone (405) 789-7103

9999 E 121st St S
Bixby, OK 74008
Phone (310) 725-0120

111 E Washington Ave
Bristow, OK 74010
Phone 84723561304

1306 E College St
Broken Arrow, OK 74012
Phone (918) 251-3200

1709 S Main St
Broken Arrow, OK 74012
Phone (918) 251-2626

2450 N Stone Ridge Dr
Broken Arrow, OK 74012
Phone (918) 304-8119

3501 W Washington St
Broken Arrow, OK 74012
Phone (918) 250-0037

424 N Date Ave
Broken Arrow, OK 74012
Phone (918) 251-5343

4300 W Houston St
Broken Arrow, OK 74012
Phone (918) 250-1700

4304 W Houston St
Broken Arrow, OK 74012
Phone 84723561304

801 N 193rd East Ave
Catoosa, OK 74015
Phone (918) 266-5500

2800 Hickory St
Claremore, OK 74017
Phone (918) 283-4948

2300 W Broadway St
Collinsville, OK 74021
Phone (918) 371-2545

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1669606398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132408",
            "telephone_number": "872-231-3162",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Ward Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641122505",
            "country_code": "US",
            "telephone_number": "512-630-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "ANTHONY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-09",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2014009215",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-38524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004618520001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669606398",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01343894",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARERR",
            "identifier": "P02078315",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.