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KELLY A BURDGE M.D. NPI 1992771687


NPI Information

NPI: 1992771687
Provider Name: KELLY A BURDGE, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
104 ENDICOTT ST
SUITE 104
DANVERS, MA
ZIP 01923
Phone: (978) 882-6700
Get Directions

Kelly A Burdge, M.D. is a nephrology internal medicine in Danvers, MA with 25 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Kelly A Burdge, M.D. NPI is 1992771687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

104 ENDICOTT ST
SUITE 104
DANVERS, MA
ZIP 01923-623
Phone: (978) 882-6700
Fax: (978) 646-8553

The NPI 1992771687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 2/23/2006 and was last updated on 2/29/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology238168MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15561OTHERSOUTH DAKOTADAKOTACARE
2370624200OTHERSOUTH DAKOTADEPT OF LABOR
3406751043656OTHERSOUTH DAKOTAPREFERRED ONE
43100277OTHERSOUTH DAKOTAMEDICA
5HP52482OTHERSOUTH DAKOTAHEALTHPARTNERS
6247072OTHERSOUTH DAKOTAMIDLANDS CHOICE
7934628700MEDICAIDMINNESOTA
80594705MEDICAIDIOWA
945364OTHERSOUTH DAKOTASANFORD HEALTH PLAN
10341G8BUOTHERMINNESOTACC SYSTEMS/ BLUE PLUS
1112903MEDICAIDNORTH DAKOTA
12P00368122OTHERSOUTH DAKOTARR MEDICARE
134994483OTHERSOUTH DAKOTABLUE CROSS
1457105P008OTHERSOUTH DAKOTAWPS TRICARE
15341G8BUOTHERMINNESOTABLUE CROSS
16I08991MEDICARE UPINSOUTH DAKOTA
172364662OTHERSOUTH DAKOTAARAZ/ AMERICA'S PPO
186631200MEDICAIDSOUTH DAKOTA
1946022474344MEDICAIDNEBRASKA
20S100433MEDICARE PINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.