Jason M Burgett, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01046886A Issued in IN

Practice address

1345 Unity PL
Suite 245
Lafayette, IN 47905-5770

Phone

(765) 446-5130

Fax

(765) 446-5131

NPI assigned

May 17, 2006

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.burgett@burgettkresovskyeye.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unity Healthcare, LLC

  • Clinic/Center
  • Lafayette, IN
  • NPI 1619929098

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Unity Healthcare LLC

  dba Lafayette Vein and Vascular

  • Vascular Surgery Physician
  • Lafayette, IN
  • NPI 1427759182
  NPD
• Unity Healthcare, LLC

  dba Lafayette Rehabilitation Services

  • Physical Therapist
  • Lafayette, IN
  • NPI 1619983947
  NPD
• Unity Surgical Center, LLC

  dba Unity Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Lafayette, IN
  • NPI 1154590271
  NPD
• Unity Healthcare LLC

  dba Unity Radiology

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1497912497
  NPD (past)
• Unity Healthcare, LLC

  dba Burgett Kresovsky Eye Care

  • Ophthalmology Physician
  • Lafayette, IN
  • NPI 1487827994
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1023061736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL",
            "address_2": "SUITE 245",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055770",
            "telephone_number": "765-446-5130",
            "fax_number": "765-446-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01046886A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043005",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200133220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca V Bunnell, CST
• Aldo A Buonanno, M.D.
• Mark A Buono, MD
• Abigail M. Burcham, SLP
• Jillian Christine Burdick, CRNA
• Hailey Burkart
• Joslyn Burke
• Bryce R Burkhart, PHARM.D.
• Sean Paul Burnett, RD
• Mary Burns

• Ophthalmology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.