Individual provider Active NPI

Janet M Burlingame, MD

  • Maternal & Fetal Medicine Physician
  • Kailua, HI
National Provider Identifier
1164406286
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD13380 Issued in HI
Practice address
970 N Kalaheo Ave Ste A108
Kailua, HI 96734-1868
Phone
(808) 772-1767
Fax
(808) 441-0022
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD13380 HI
Maternal & Fetal Medicine Physician 207VM0101X MD13380 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave Ste A108
Kailua, HI 96734-1868

Mailing address

970 N Kalaheo Ave Ste A108
Kailua, HI 96734-1868
Phone (808) 762-1996

Other identifiers 1

IdentifierTypeStateIssuer
572330MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20050906001066 HI Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 1850323395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Columbia University College of Physicians and Surgeons, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

777 Lawndres Hill Rd
Greenville, SC 29607-2101

777 Lowndes Hill Rd
BLDG 1
Greenville, SC 29607-2131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13380HIMDObstetrics & Gynecology Physician
MD-13380HIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Specialty Care LLC Maternal & Fetal Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

970 N Kalaheo Ave
Ste A108
Kailua, HI 96734
Phone (808) 762-1996

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18636/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBBDDD/Endpoint/DBBDDD

Organizations & group practices 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1164406286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE A108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341868",
            "telephone_number": "808-762-1996",
            "fax_number": "808-441-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE A108",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341868",
            "telephone_number": "808-772-1767",
            "fax_number": "808-441-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLINGAME",
        "first_name": "JANET",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD13380",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "HI",
            "license": "MD13380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572330",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.