Individual provider Active NPI

Matthew Alan Burkart, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1093077463
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003731 Issued in IN
Practice address
1400 N Ritter Ave Ste 281
Indianapolis, IN 46219-3046
Phone
(317) 357-8663
Fax
(317) 357-8842
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003731 IN Primary

Addresses

Primary practice location

1400 N Ritter Ave Ste 281
Indianapolis, IN 46219-3046

Mailing address

9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480

Other practice location 1

7250 Clearvista Dr Ste 180
Indianapolis, IN 46256-5607
Phone (317) 594-9410

Other identifiers 1

IdentifierTypeStateIssuer
201074070MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mburkart@cecin.intellechart.net

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000262 IN Practitioner - Optometry 3173788452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Indiana PCGroup PAC ID 5193754265, 12 clinicians

Practice addresses (Care Compare)

1901 N Meridian St
Indianapolis, IN 46202-1303
Phone (317) 925-2200

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003731INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists of Indiana, PC Optometrist CurrentSince Nov 14, 2022 Accepting new patients
Eye Specialist of Indiana, P.C. Optometrist CurrentSince Nov 14, 2022 Accepting new patients
Surgery Center of Eye Specialists of Indiana, PC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1828 N Meridian St
Ste 123
Indianapolis, IN 46202
Phone (317) 925-2200

1950 W 86th St
Indianapolis, IN 46260
Phone 3179204575307

1901 N Meridian St
Indianapolis, IN 46202
Phone (317) 925-2200

3530 S Keystone Ave
Indianapolis, IN 46227
Phone (317) 925-2200

1055 S Hunt St
Terre Haute, IN 47803
Phone (317) 925-2200

Interoperability endpoints

  • Direct secure messaging: mburkart@esin.intellechartdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1093077463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N RITTER AVE STE 281",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193046",
            "telephone_number": "317-357-8663",
            "fax_number": "317-357-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 Clearvista Dr Ste 180",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462565607",
            "country_code": "US",
            "telephone_number": "317-594-9410",
            "fax_number": "317-594-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKART",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201074070",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mburkart@cecin.intellechart.net",
            "affiliation": "N",
            "address_1": "1400 N Ritter Ave Ste 281",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.