Active NPI
Suzanne Burns, MD
- Internal Medicine Physician
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD07297
- Practice address
- 900 Warren Ave
Suite 400
East Providence, RI 02914-1430 - Phone
- (401) 331-1221
- Fax
- (401) 751-8003
- NPI assigned
- Sep 29, 2005
- Last updated
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD07297 | RI | Primary |
Addresses
Primary practice location
900 Warren Ave
Suite 400
East Providence, RI 02914-1430
Mailing address
10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050483739 | Other | RI | GREAT WEST HEALTH CARE |
| 04-00439 | Other | RI | UNITED HEALTH CARE |
| 110197572 | Other | RI | RAILROAD MEDICARE |
| 404464 | Other | RI | TUFTS HEALTH PLAN |
| 709004159 | Other | RI | MEDICARE GROUP |
| 20849 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| SB18499 | Medicaid | RI | |
| 20059 | Other | RI | BCBS OF RI |
| 202185 | Other | RI | BLUE CHIP |
| 710025501 | Other | RI | CIGNA |
| 60777 | Other | RI | HARVARD HEALTH PLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sburns220874@direct.lifespan.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Coastal Medical Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Coastal Medical Inc | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 400
East Providence, RI 02914
Phone (401) 331-1221
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
41 Sanderson Rd
Ste 201
Smithfield, RI 02917
Phone (401) 253-3710
Interoperability endpoints
- sburns220874@brownhealth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Coastal Medical Lab
- Clinical Medical Laboratory
- Providence, RI
- NPI 1972590552
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1144217829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DAVOL SQ",
"address_2": "SUITE 400",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034754",
"telephone_number": "401-421-4000",
"fax_number": "401-272-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WARREN AVE",
"address_2": "SUITE 400",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141430",
"telephone_number": "401-331-1221",
"fax_number": "401-751-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD07297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH CARE",
"identifier": "050483739",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "04-00439",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110197572",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "404464",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "709004159",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "20849",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SB18499",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "20059",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "202185",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "710025501",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD HEALTH PLAN",
"identifier": "60777",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sburns220874@direct.lifespan.org",
"affiliation": "N",
"address_1": "900 Warren Ave",
"address_2": "Suite 400",
"city": "East Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029141430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.