DR. ANDREA LUCILE BURGO-BLACK M.D.
NPI 1396843231
Internal Medicine in West Haven, CT

Q: What is Andrea Burgo-black's NPI number?

The NPI number for Andrea Burgo-black is 1396843231. It was assigned to this individual provider in the NPPES registry on September 21, 2006. The provider is also known as Dr. Andrea Lucile Burgo M.D..

Q: What is Andrea Burgo-black's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 21, 2006PECOS Enrolled

950 CAMPBELL AVE, VACT HEALTHCARE SYSTEM, WEST HAVEN, CT 06516(203) 932-5711(203) 937-3403 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Andrea Lucile Burgo-black M.d. NPPES

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

DR. ANDREA LUCILE BURGO-BLACK M.D. (NPI 1396843231) is an individual internal medicine provider in West Haven, Connecticut, licensed in Connecticut (025451) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396843231

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANDREA LUCILE BURGO-BLACKCredential: M.D.

Location Address950 CAMPBELL AVE, VACT HEALTHCARE SYSTEMWest Haven, CT 06516-2770

Mailing Address20 Kenter PlNew Haven, CT 06515-2412 · (203) 389-6335

Phone(203) 932-5711

Fax(203) 937-3403

Sole ProprietorYes

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396843231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CT · 025451

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

950 CAMPBELL AVE, West Haven, CT 06516

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Other Names 1

Professional Name (2)Dr. Andrea Lucile Burgo M.d.

Other Identifiers 1

Medicare UPINVADOOOCT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Lucile Burgo-black M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06516 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LESLIE TANQUILUT PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516