Andrea S Burch, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

40176 Issued in KY

Practice address

2307 Greene Way Ste C
Louisville, KY 40220-4097

Phone

(502) 806-3376

Fax

(502) 213-3999

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Dermatology

Education

University of Louisville School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.22 of 100Reported as group

Quality

82.44

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatopathology Consultants of Kentucky PLLC

  dba Family Dermatology

  • Dermatopathology Physician
  • Louisville, KY
  • NPI 1023409612
  Medicare reassignment NPD
• Skin Group PLLC

  dba Dermatopathology Consultants

  • Dermatopathology Physician
  • Louisville, KY
  • NPI 1013925106
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1063482214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 GREENE WAY STE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204097",
            "telephone_number": "502-806-3376",
            "fax_number": "502-213-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GREENE WAY STE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204097",
            "telephone_number": "502-806-3376",
            "fax_number": "502-213-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "ANDREA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "44924",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "KY",
            "license": "40176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyauna Bunzy
• Jennifer Lynn Buono, MPT
• Kirsten Buop, PTA
• Joseph Michael Burba, TCADC
• Emily Hartman Burcar, COTAL
• Andrew Daniel Burch, PHARMD
• Casey Burch, LPCC
• Evangeline Burch, PT
• Hannah Taylor Burch
• James Burch

• Dermatopathology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Dermatopathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.