Organization Active NPI

Jorge Y Burgos MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1942463237
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JORGE Y BURGOS MD PC
Practice address
750 N Eastern Ave Ste 100
Las Vegas, NV 89101-2850
Phone
(702) 227-0022
Fax
(702) 227-0084
NPI assigned
Jul 7, 2008
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Jorge Y Burgos, MDNPI 1639275969
Title
Provider
Phone
(702) 227-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

750 N Eastern Ave Ste 100
Las Vegas, NV 89101-2850

Mailing address

750 N Eastern Ave Ste 100
Las Vegas, NV 89101-2850
Phone (702) 227-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000096 NV Part B Supplier - Clinic/Group Practice 0042378952 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2058449Jorge Y Burgos MD PC750 N Eastern Ave Ste 100, Las Vegas, NV 89101Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jorge Burgos MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6440 Sky Pointe Dr
Ste 140
Las Vegas, NV 89131
Phone (702) 482-7714

6440 Sky Pointe Dr
Ste 140239
Las Vegas, NV 89131

750 N Eastern Ave
#100
Las Vegas, NV 89101
Phone (702) 227-0022

1815 E Lake Mead Blvd
Ste 207
North Las Vegas, NV 89030
Phone (702) 227-0022

5575 Simmons St
#1301
North Las Vegas, NV 89031
Phone (702) 227-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1942463237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012850",
            "telephone_number": "702-227-0022",
            "fax_number": "702-227-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012850",
            "telephone_number": "702-227-0022",
            "fax_number": "702-227-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE Y BURGOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-227-0022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.