Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANANIAS MOTTA BURGOS
NPI 1225663552
Obstetrics & Gynecology in Michigan City, IN

Q: What is Ananias Motta Burgos's NPI number?

The NPI number for Ananias Motta Burgos is 1225663552. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Q: What is Ananias Motta Burgos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since March 06, 2020PECOS Enrolled

3500 FRANCISCAN WAY STE 300, MICHIGAN CITY, IN 46360(219) 861-8785(219) 861-8789 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Apr 18, 2022, Mar 6, 2020 (3 updates tracked since 2020).

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About Ananias Motta Burgos NPPES

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

ANANIAS MOTTA BURGOS (NPI 1225663552) is an individual obstetrics & gynecology provider in Michigan City, Indiana, licensed in Indiana (01100356A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225663552

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameANANIAS MOTTA BURGOS

Location Address3500 FRANCISCAN WAY STE 300Michigan City, IN 46360-0033

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 861-8785

Fax(219) 861-8789

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 6, 2020

Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1225663552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01100356A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3500 FRANCISCAN WAY STE 300, Michigan City, IN 46360

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Secondary Practice Locations 2

Location 12201 Hempstead TpkeEast Meadow, NY 11554-1859 · Phone (516) 296-2830

Location 2Carr 164 KM 13.7 Corozal P.RCorozal, PR 00783-9671 · Phone (787) 515-2426

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ananias Motta Burgos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648737304

PECOS Enrollment IDI20260812003586

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DR. SHARMILEE THOTA MD

Obstetrics & Gynecology