Active NPI
Thomas Burgess, D.O.
- Emergency Medicine Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 283413
- Practice address
- 759 Chestnut St
Springfield, MA 01199-0001 - Phone
- (413) 794-0000
- NPI assigned
- Mar 29, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 63843 | NY | |
| Emergency Medicine Physician | 207P00000X | 283413 | MA | Primary |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01199-0001
Mailing address
25 Williams St Apt 1
Northampton, MA 01060-3332
Phone (401) 458-8693
Other practice location 1
47 New Scotland Ave
Dept. of Emergency Medicine
Albany, NY 12208-3412
Phone (518) 262-4050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tom.Burgess@baystatehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of New England, College of Osteo Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 W Silver St
Westfield, MA 01085-3678
Phone (413) 568-2811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63843 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Interoperability endpoints
- tom.burgess@baystatehealth.org
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Westfield, MA
- NPI 1700816048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1750813796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WILLIAMS ST APT 1",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603332",
"telephone_number": "401-458-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011990001",
"telephone_number": "413-794-0000"
}
],
"practiceLocations": [
{
"address_1": "47 New Scotland Ave",
"address_2": "Dept. of Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083412",
"country_code": "US",
"telephone_number": "518-262-4050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "63843",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "283413",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tom.Burgess@baystatehealth.org",
"affiliation": "N",
"endpointDescription": "hospital email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "759 Chestnut St",
"city": "Springfield",
"state": "MA",
"country_code": "US",
"postal_code": "011990001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.