RAFAEL BURGOS JR. MD
NPI 1346203742
Family Medicine in Henderson, NV

Q: What is Rafael Burgos's NPI number?

The NPI number for Rafael Burgos is 1346203742. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Q: What is Rafael Burgos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Burgos was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment

1501 W SUNSET RD, HENDERSON, NV 89014(125) 269-7001(725) 712-8165 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Jan 21, 2026, May 3, 2021 and 2 more (5 updates tracked since 2017).

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About Rafael Burgos Jr. Md NPPES

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

RAFAEL BURGOS JR. MD (NPI 1346203742) is an individual family medicine provider in Henderson, Nevada, licensed in Florida (ME055838) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1346203742

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRAFAEL BURGOS JR.Credential: MD

Location Address1501 W SUNSET RDHenderson, NV 89014-6636

Mailing Address3131 Sw 112th AveMiami, FL 33165-2223 · (786) 763-9576

Phone(125) 269-7001

Fax(725) 712-8165

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateApril 8, 2006

Last NPPES UpdateApril 7, 20265 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1346203742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME055838✔ Licensed in NV · 29086

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1501 W SUNSET RD, Henderson, NV 89014

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Other Identifiers 1

Medicaid039780600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rafael Burgos Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850296559

PECOS Enrollment IDI20031205000064

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services25 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

39 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

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 11

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

LINDA LOU JOHNSON MD

Internal Medicine