Burgundy Prime Inc
NPI 1720557150 · Psychiatry Physician · Lake Mary, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Burgundy Prime Inc is a Psychiatry Physician organization in Lake Mary, FL (NPI 1720557150).
Provider details
- NPI number
- 1720557150
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abid Malik, President(407) 777-8084
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Psychosomatic Medicine Physician2084P0015X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-14
- Last updated
- 2018-11-14
Frequently asked questions
- What is Burgundy Prime Inc's NPI number?
- Burgundy Prime Inc's National Provider Identifier (NPI) is 1720557150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Burgundy Prime Inc?
- Burgundy Prime Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Burgundy Prime Inc located?
- Burgundy Prime Inc's practice location on file with NPPES is 430 Waymont Ct Ste 100, Lake Mary, FL 32746-6745.
- What is Burgundy Prime Inc's phone number?
- The practice phone number listed in the NPPES registry for Burgundy Prime Inc is (407) 878-0022.
- Does Burgundy Prime Inc accept Medicare?
- Burgundy Prime Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Burgundy Prime Inc?
- The authorized official listed on Burgundy Prime Inc's NPPES record is Abid Malik, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Burgundy Prime Inc's NPI active?
- Yes — Burgundy Prime Inc's NPI (1720557150) is active in the NPPES registry as of the last update on 2018-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.