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MACKAY BURGON
NPI 1194427096
Student in an Organized Health Care Education/Training Program in Springfield, MA

Active since March 22, 2023PECOS Enrolled
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, SPRINGFIELD, MA 01199(413) 794-0000 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackay Burgon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKAY BURGON (NPI 1194427096) is an individual student in an organized health care education/training program in Springfield, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1194427096
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMACKAY BURGON
Location AddressBAYSTATE MEDICAL CENTER 759 CHESTNUT STREETSpringfield, MA 01199-0001
Mailing AddressBaystate Medical Center 759 Chestnut StreetSpringfield, MA 01199-0001 · (413) 794-0000
Phone(413) 794-0000
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2023
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1194427096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET, Springfield, MA 01199
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackay Burgon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527422534
PECOS Enrollment IDI20260507000169
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTOINETTE CARMELA PACIFICO MD
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
SUMI PIYA
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
DR. OMAR HAIDER MD
Internal Medicine
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
MARIA MAE STEVENS
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 749-0000
YAMNA JADOON
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
JESSICA BO KAH LEUNG
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
DR. CLAUDIA REBEKKA VOGELGSANG
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
DR. ALESSANDRA DE FRANCO MD
Student in an Organized Health Care Education/Training Program
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackay Burgon's NPI number?

The NPI number for Mackay Burgon is 1194427096. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Mackay Burgon located?

Mackay Burgon practices at Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199. The listed phone number is (413) 794-0000.

What is Mackay Burgon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mackay Burgon enrolled in Medicare?

Yes. Mackay Burgon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mackay Burgon was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.