BURGUNDY PRIME INC
NPI 1720557150
Psychiatry & Neurology - Psychiatry in Lake Mary, FL

Q: What is Burgundy Prime Inc's NPI number?

The NPI number for Burgundy Prime Inc is 1720557150. It was assigned to this organization in the NPPES registry on November 14, 2018.

Q: What is Burgundy Prime Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since November 14, 2018

430 WAYMONT CT STE 100, LAKE MARY, FL 32746(407) 878-0022(407) 369-4267 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Burgundy Prime Inc NPPES

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

BURGUNDY PRIME INC (NPI 1720557150) is a healthcare organization registered as a psychiatry in Lake Mary, Florida and active in the NPI registry since November 2018. The organization lists Abid Malik, President, as its authorized official.

NPPES Registry Identity

NPI1720557150

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameBURGUNDY PRIME INC

Location Address430 WAYMONT CT STE 100Lake Mary, FL 32746-6745

Mailing Address430 Waymont Ct Ste 100Lake Mary, FL 32746-6745 · (407) 878-0022 · Fax (407) 369-4267

Phone(407) 878-0022

Fax(407) 369-4267

Organization SubpartNo

Authorized OfficialAbid MalikPresident · (407) 777-8084

Enumeration DateNovember 14, 2018

✔ NPI 1720557150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · Obesity MedicineTaxonomy 2084B0002X

Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X

430 WAYMONT CT STE 100, Lake Mary, FL 32746

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burgundy Prime Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Burgundy Prime Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Abid Malik, M.D.

Psychiatry

NPI 1922122035

455 W WARREN AVE
Longwood, FL 32750

(407) 262-2220

✔ PECOS✔ Accepts Medicare3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Burgundy Prime Inc's NPI number?

The NPI number for Burgundy Prime Inc is 1720557150. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Burgundy Prime Inc located?

Burgundy Prime Inc is located at 430 Waymont Ct Ste 100, Lake Mary, FL 32746. The listed phone number is (407) 878-0022.

What is Burgundy Prime Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Burgundy Prime Inc enrolled in Medicare?

Yes. Burgundy Prime Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burgundy Prime Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Burgundy Prime Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Burgundy Prime Inc was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.