Individual provider Active NPI

John F Burgess, DPM

  • Podiatrist
  • Reno, NV
National Provider Identifier
1881680221
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
33 Issued in NV
Practice address
1225 Westfield Ave
Ste 2
Reno, NV 89509-1834
Phone
(775) 323-2544
Fax
(775) 323-5923
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 33 NV Primary

Addresses

Primary practice location

1225 Westfield Ave
Ste 2
Reno, NV 89509-1834

Mailing address

1225 Westfield Ave
Ste 2
Reno, NV 89509-1834
Phone (775) 323-2544

Other identifiers 1

IdentifierTypeStateIssuer
2116834MedicaidNV

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000658 NV Practitioner - Podiatry 3173706280 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1225 Westfield Ave
Reno, NV 89509-1834
Phone (775) 323-2544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0033NVMDProfessional Counselor
33NVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Organizations & group practices 4

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1881680221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WESTFIELD AVE",
            "address_2": "STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091834",
            "telephone_number": "775-323-2544",
            "fax_number": "775-323-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WESTFIELD AVE",
            "address_2": "STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091834",
            "telephone_number": "775-323-2544",
            "fax_number": "775-323-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116834",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.