NPIMap

Individual provider Active NPI

Jeffrey Edware Burtaine, M.D.

  • Family Medicine Physician
  • Lehighton, PA
National Provider Identifier
1083896302
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD011765E Issued in PA
Practice address
575 S. 9TH Street
Suite 7
Lehighton, PA 18235
Phone
(570) 645-1000
Fax
(570) 645-1001
NPI assigned
Nov 28, 2007
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD011765E PA Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD 00165E PA

Addresses

Primary practice location

575 S. 9TH Street
Suite 7
Lehighton, PA 18235

Mailing address

575 S. 9TH Street
Suite 7
Lehighton, PA 18235
Phone (570) 645-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170512000015 PA Practitioner - Preventive Medicine 0143507590 Reassigns benefits to 6 organizations
I20180405001456 NJ Practitioner - Preventive Medicine 0143507590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke's Quakertown HospitalGroup PAC ID 8224010350, 33 clinicians
St Luke's HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

187 County Rd
Belvidere, NJ 07823-1900

200 Strykers Rd
Phillipsburg, NJ 08865-9488
Phone (908) 847-1035

2092 W Penn Pike
St Luke's Care Now
New Ringgold, PA 17960-9398
Phone (570) 645-1520

22 Walmart Plaza
Clinton, NJ 08809-1263
Phone (848) 526-7246

2793 Geryville Pike
Pennsburg, PA 18073-2306
Phone (267) 424-8005

501 Centronia Rd
Allentown, PA 18104
Phone (484) 426-2501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 00165EPAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince May 1, 2017 Accepting new patients
Carbon - Schuylkill Community Hospital Inc Family Medicine CurrentSince May 1, 2017 Accepting new patients
GSL Hospital Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
St. Luke's Quakertown Hospital CurrentSince May 1, 2017 Accepting new patients
St. Luke's Quakertown Hospital Family Medicine CurrentSince May 1, 2017 Accepting new patients
St Luke's Hospital CurrentSince May 1, 2017 Accepting new patients
St. Luke's Hosptial Family Medicine CurrentSince May 1, 2017 Accepting new patients
St. Luke's Hospital Monroe Campus Family Medicine CurrentSince Oct 14, 2017 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Mar 1, 2018 Accepting new patients
St. Luke's Hospital Monroe Campus CurrentSince Oct 14, 2017 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
St. Luke's Hospital Family Medicine CurrentSince May 1, 2017 Accepting new patients
St. Luke's Warren Physician Group, PC Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

200 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-1035

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

501 Cetronia Rd
Allentown, PA 18104
Phone (484) 426-2501

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

2793 Geryville Pike
Pennsburg, PA 18073
Phone (267) 424-8005

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 10

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1083896302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S. 9TH STREET",
            "address_2": "SUITE 7",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "18235",
            "telephone_number": "570-645-1000",
            "fax_number": "570-645-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S. 9TH STREET",
            "address_2": "SUITE 7",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "18235",
            "telephone_number": "570-645-1000",
            "fax_number": "570-645-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTAINE",
        "first_name": "JEFFREY",
        "middle_name": "EDWARE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD011765E",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PA",
            "license": "MD 00165E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.