Kim S Burgess, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J7314 Issued in TX

Practice address

4001 Long Prairie Rd
Suite 140
Flower Mound, TX 75028-1525

Phone

(972) 691-2388

Fax

(972) 691-2766

NPI assigned

Oct 17, 2006

Last updated

May 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kburgess12684@cookchildrens.direct-ci.com

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.

• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1750369203
  Medicare reassignment NPD
• Cook Children's Physician Network

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1083472062
  NPD
• 18 And Under MD, PA

  dba 18 & Under MD

  • Pediatrics Physician
  • Flower Mound, TX
  • NPI 1295932325
  NPD (past)
• TCH Pediatric Associates, Inc

  dba Texas Children's Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1225038326
  NPD (past)
• TR Diagnostic Radiology Management Inc

  • Mobile Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1902241292
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1881774412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LONG PRAIRIE RD",
            "address_2": "SUITE 140",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281525",
            "telephone_number": "972-691-2388",
            "fax_number": "972-691-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "KIM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J7314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kburgess12684@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "4001 Long Prairie Rd",
            "address_2": "SUITE 140",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jelena Bucan Kurepa, M.D.
• Jaime Bui, DMD
• Liberty H Bundy
• Leila Burch, PA-C
• Rebekah Burd
• Karen Burkard, PT
• Courtney Burkey
• Burooj Holdings LLC (Burooj Holdings)
• Shaun Burrow, MMFT
• Jailyn Bush

• Pediatrics Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.