Individual provider Active NPI

Daniel Shawn Burdick, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Honolulu, HI
National Provider Identifier
1124386073
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
19088 Issued in HI
Practice address
226 N Kuakini St
Honolulu, HI 96817-2488
Phone
(808) 531-3511
NPI assigned
Apr 29, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 19088 HI Primary

Addresses

Primary practice location

226 N Kuakini St
Honolulu, HI 96817-2488

Mailing address

226 N Kuakini St
Honolulu, HI 96817-2488
Phone (808) 544-3362

Other practice location 1

11234 Anderson St
GME Office 21005
Loma Linda, CA 92354-2804
Phone (909) 558-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171009002428 HI Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 6406121946 Reassigns benefits to 2 organizations
I20200114001402 HI Practitioner - Physical Medicine and Rehabilitation 6406121946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab Associates of the Pacific LLCGroup PAC ID 6608190822, 9 clinicians
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

226 N Kuakini St
Honolulu, HI 96817-2488
Phone (808) 531-3511

226 N Kuakini St
Honolulu, HI 96817-2498

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

98 -1005 Moanalua Rd
SPC 425
Aiea, HI 96701-4702
Phone (808) 486-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19088HIMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mi-Health LLC CurrentSince Oct 19, 2023 Accepting new patients
Rehab Associates of the Pacific LLC CurrentSince Sep 17, 2017 Accepting new patients
Rehabilitation Hospital of the Pacific CurrentSince Sep 1, 2017 Accepting new patients
Hosanna LLC Past Accepting new patients
Rehabilitation Hospital of the Pacific Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 425
Aiea, HI 96701
Phone (808) 486-8000

770 Kapiolani Blvd
Ste 114
Honolulu, HI 96813
Phone (808) 666-9960

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

226 N Kuakini St
Honolulu, HI 96817
Phone (808) 531-3511

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Interoperability endpoints

  • Direct secure messaging: daniel.burdick@532995347120132.direct.elationemr.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.

Hospital & facility affiliations 1

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": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124386073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172488",
            "telephone_number": "808-544-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172488",
            "telephone_number": "808-531-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "GME Office 21005",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "DANIEL",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "HI",
            "license": "19088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.