Individual provider Active NPI

Harry A Burglass Jr., MD

  • Dermatology Physician
  • Baton Rouge, LA
National Provider Identifier
1104813971
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
017229 Issued in LA
Practice address
5326 O'Donovan Drive
Baton Rouge, LA 70808-4388
Phone
(225) 769-7546
Fax
(225) 769-0471
NPI assigned
Oct 5, 2005
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 017229 LA Primary

Addresses

Primary practice location

5326 O'Donovan Drive
Baton Rouge, LA 70808-4388

Mailing address

5326 O'Donovan Drive
Baton Rouge, LA 70808-4388
Phone (225) 769-7546

Other practice location 1

16 Infirmary Rd
Baton Rouge, LA 70803-4388
Phone (225) 578-6761

Other identifiers 1

IdentifierTypeStateIssuer
1333972MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address hburglass8478@direct.casso.us.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20080716000174 LA Practitioner - Dermatology 1052322310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic a Professional Medical CorporationGroup PAC ID 6103856661, 13 clinicians

Practice addresses (Care Compare)

5326 O Donovan Dr
Baton Rouge, LA 70808-4691

5326 Odonovan Dr
Baton Rouge, LA 70808-4691
Phone (225) 769-7546

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
84.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions1328
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017229LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Dermatology CurrentSince Nov 28, 2022 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Nov 28, 2022 Accepting new patients
Lsuhn Billing LLC CurrentSince May 18, 2018 Accepting new patients
Dermatology Clinic a Professional Medical Corporation Dermatology CurrentSince May 1, 1992 Accepting new patients
Lsuhn Billing LLC CurrentSince May 18, 2018 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

16 Infirmary Rd
Baton Rouge, LA 70803
Phone (225) 578-6716

5326 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 768-2850

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

5000 Odonavan Blvd
Ste 315
Walker, LA 70785
Phone (225) 769-7546

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: hburglass8478@direct.casso.us.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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1104813971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 O'DONOVAN DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 O'DONOVAN DRIVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-769-7546",
            "fax_number": "225-769-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Infirmary Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708034388",
            "country_code": "US",
            "telephone_number": "225-578-6761",
            "fax_number": "225-578-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGLASS",
        "first_name": "HARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "017229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333972",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "16 Infirmary Rd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708034388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hburglass8478@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hburglass8478@direct.casso.us.com",
            "address_1": "16 Infirmary Rd",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708034388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.