Individual provider Active NPI

Miguel Tomas Nunez Burgos, MD

  • Internal Medicine Physician
  • Mill Creek, WA
National Provider Identifier
1811328396
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD61261486 Issued in WA
Practice address
13206 Bothell Everett Hwy Ste 401a
Mill Creek, WA 98012-3402
Phone
(833) 411-5469
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA09454600 NJ
Internal Medicine Physician 207R00000X MD61261486 WA Primary

Addresses

Primary practice location

13206 Bothell Everett Hwy Ste 401a
Mill Creek, WA 98012-3402

Mailing address

13206 Bothell Everett Hwy Ste 401a
Mill Creek, WA 98012-3402
Phone (833) 411-5469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220812001949 WA Practitioner - Internal Medicine 9739305095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
600 Stewart Medical Group, P.C.Group PAC ID 6608260534, 8 clinicians

Practice addresses (Care Compare)

2706 W Nob Hill Blvd
Suite 100
Yakima, WA 98902-7507
Phone (206) 848-7500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
600 Stewart Medical Group, P.C. CurrentSince Aug 8, 2022 Accepting new patients

Locations

13206 Bothell Everett Hwy
Ste 401A
Mill Creek, WA 98012
Phone (860) 227-8526

600 Stewart St
Ste 800
Seattle, WA 98101
Phone (206) 690-5962

2706 W Nob Hill Blvd
Ste 100
Yakima, WA 98902
Phone (206) 848-7500

Interoperability endpoints

  • Direct secure messaging: mnunezburgos2415453@wm.providencedirect.org
  • Direct secure messaging: mnunezburgosmd31000@direct.utmb.edu
  • Direct secure messaging: miguel.nunezburgos@direct.carepointhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1811328396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 BOTHELL EVERETT HWY STE 401A",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980123402",
            "telephone_number": "833-411-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13206 BOTHELL EVERETT HWY STE 401A",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980123402",
            "telephone_number": "833-411-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ BURGOS",
        "first_name": "MIGUEL",
        "middle_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09454600",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61261486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.