DR. HECTOR IVAN BURGOS M.D.
NPI 1609852490
Specialist in Pine Ridge, SD

Q: What is Hector Burgos's NPI number?

The NPI number for Hector Burgos is 1609852490. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Hector Burgos's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Hector Burgos was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 22, 2005PECOS Enrolled

HIGHWAY 18 EAST, PINE RIDGE HOSPITAL - INDIAN HEALTH SERVICE UNIT, PINE RIDGE, SD 57770(605) 867-3273(605) 867-3271 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Hector Ivan Burgos M.d. NPPES

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

DR. HECTOR IVAN BURGOS M.D. (NPI 1609852490) is an individual specialist in Pine Ridge, South Dakota, licensed in Puerto Rico (9942) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609852490

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. HECTOR IVAN BURGOSCredential: M.D.

Location AddressHIGHWAY 18 EAST, PINE RIDGE HOSPITAL - INDIAN HEALTH SERVICE UNITPine Ridge, SD 57770

Mailing AddressPo Box 1201, Pine Ridge Indian Health Service UnitPine Ridge, SD 57770-1201 · (605) 867-3273 · Fax (605) 867-3271

Phone(605) 867-3273

Fax(605) 867-3271

Sole ProprietorNo

Enumeration DateDecember 22, 2005

Last NPPES UpdateJanuary 9, 2012

✔ NPI 1609852490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in PR · 9942

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

HIGHWAY 18 EAST, Pine Ridge, SD 57770

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Other Identifiers 2

Medicare UPINE62994PR

Medicare ID-Type Unspecified82738

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. Hector Ivan Burgos 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.

Other Providers at the Same Location NPPES 6

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

MISS MARY ELIZABETH COLHOFF RN

Registered Nurse (Ambulatory Care)