DR. DANIELE MICHELLE BOURGET MD
NPI 1821385881
Emergency Medicine in Philadelphia, PA
About Dr. Daniele Michelle Bourget Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIELE MICHELLE BOURGET MD (NPI 1821385881) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD450490) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Daniele Michelle Bourget 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.
Medicare Billing Reassignment
Medicare enrollment records show Daniele Bourget reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austell, GA 30106
- Reassigned Medicare billing, Georgia enrollment
- 353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Daniele Bourget's NPI number?
The NPI number for Daniele Bourget is 1821385881. It was assigned to this individual provider in the NPPES registry on June 28, 2011.
Where is Daniele Bourget located?
Daniele Bourget practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-5030.
What is Daniele Bourget's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Daniele Bourget enrolled in Medicare?
Yes. Daniele Bourget is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Daniele Bourget's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniele Bourget reassigns Medicare benefits to The Bortolazzo Group, LLC (Austell, GA). The 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 Daniele Bourget's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daniele Bourget accept?
Health plans from Oscar Health and Oscar Insurance Company list Daniele Bourget as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Daniele Bourget affiliated with any hospitals?
According to CMS data, Daniele Bourget is affiliated with Wellstar Kennestone Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Daniele Bourget was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Daniele Michelle Bourget, MD · NPI 1821385881
Emergency Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 28, 2011.
## Identity
- **NPI:** 1821385881 (Entity type: Individual)
- **Enumerated:** June 28, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD450490 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-5030 · **Fax:** (215) 707-3494
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Bortolazzo Group, LLC (NPI 1801965082, Austell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1821385881) · Data from the CMS NPPES public registry.