Active NPI
Jacob Mark Burdett, DO
- Otolaryngology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 7558
- Practice address
- 6475 S Yale Ave Ste 401
Tulsa, OK 74136-7818 - Phone
- (918) 502-9555
- Fax
- (918) 502-9559
- NPI assigned
- Mar 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036160720 | IL | |
| Otolaryngology Physician | 207Y00000X | 7558 | OK | Primary |
Addresses
Primary practice location
6475 S Yale Ave Ste 401
Tulsa, OK 74136-7818
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Other practice location 1
1919 S Wheeling Ave Ste 500
Tulsa, OK 74104-5634
Phone (918) 403-6284
Other practice location 2
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
Other practice location 3
4190 City Ave
Philadelphia, PA 19131-1626
Phone (215) 871-6690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
- Saint Francis Hospital Muskogee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7558 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
6475 S Yale Ave
Ste 401
Tulsa, OK 74136
Phone (918) 502-9555
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
1919 S Wheeling Ave
Ste 500
Tulsa, OK 74104
Phone (918) 293-6200
10507 E 91st St
Ste 110
Tulsa, OK 74133
Phone (918) 307-3100
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1725 E 19th St
Ste 500
Tulsa, OK 74104
Phone (918) 403-7089
Interoperability endpoints
- jburdett305329@direct.saintfrancis.com
- jburdett61167@sih.direct-ci.com
Organizations & group practices 5
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1104366574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 S YALE AVE STE 401",
"city": "TULSA",
"state": "OK",
"postal_code": "741367818",
"telephone_number": "918-502-9555",
"fax_number": "918-502-9559"
}
],
"practiceLocations": [
{
"address_1": "1919 S Wheeling Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741045634",
"country_code": "US",
"telephone_number": "918-403-6284",
"fax_number": "918-403-6323",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 W Main St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011031",
"country_code": "US",
"telephone_number": "618-549-5361",
"fax_number": "618-351-4878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4190 City Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191311626",
"country_code": "US",
"telephone_number": "215-871-6690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDETT",
"first_name": "JACOB",
"middle_name": "MARK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-03",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036160720",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OK",
"license": "7558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.