Individual provider Active NPI

Kenneth Buran, M.D.

  • Gastroenterology Physician
  • Marquette, MI
National Provider Identifier
1033129390
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10468A Issued in WY
Practice address
850 W Baraga Ave Ste 32
Marquette, MI 49855-4550
Phone
(906) 449-3680
Fax
(833) 916-2211
NPI assigned
Aug 9, 2006
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18203 MS
Gastroenterology Physician 207RG0100X 10468A WY Primary

Addresses

Primary practice location

850 W Baraga Ave Ste 32
Marquette, MI 49855-4550

Mailing address

850 W Baraga Ave Ste 32
Marquette, MI 49855-4550
Phone (906) 449-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050719000502 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 6709772098 Reassigns benefits to 1 organization
I20160115001620 WY Practitioner - Gastroenterology 6709772098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy84
Upper gastrointestinal (GI) endoscopy for acid reflux104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10468AWYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group PC CurrentSince Dec 14, 2015 Accepting new patients
Digestive Health Associates of Cheyenne CurrentSince Dec 14, 2015 Accepting new patients
Urvish K Shah, MD PC Gastroenterology Past Accepting new patients
River Oaks Management Company LLC Internal Medicine Past Accepting new patients
Careplus Lakeview Family Medicine Past Accepting new patients

Locations

2301 House Ave
Ste 300
Cheyenne, WY 82001
Phone (307) 432-3840

7212 Commons Cir
Cheyenne, WY 82009
Phone (307) 635-4141

Interoperability endpoints

  • Direct secure messaging: kenneth.buran.1@8233.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1033129390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W BARAGA AVE STE 32",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554550",
            "telephone_number": "906-449-3680",
            "fax_number": "833-916-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W BARAGA AVE STE 32",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554550",
            "telephone_number": "906-449-3680",
            "fax_number": "833-916-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURAN",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18203",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WY",
            "license": "10468A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.