Individual provider Active NPI

Burton Von Burkholder, MD

  • Dermatology Physician
  • Charlottesville, VA
National Provider Identifier
1245231547
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101230390 Issued in VA
Practice address
320 Winding River LN
Suite 301
Charlottesville, VA 22911-3569
Phone
(434) 296-0113
Fax
(434) 293-2367
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 0101230390 VA Primary

Addresses

Primary practice location

320 Winding River LN
Suite 301
Charlottesville, VA 22911-3569

Mailing address

320 Winding River LN
Suite 301
Charlottesville, VA 22911-3569
Phone (434) 296-0113

Other identifiers 2

IdentifierTypeStateIssuer
005900484MedicaidVA
212741OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101026000349 VA Practitioner - Dermatology 8921291634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology PLCGroup PAC ID 7810081254, 4 clinicians

Practice addresses (Care Compare)

320 Winding River LN
Suite 301
Charlottesville, VA 22911-3569
Phone 4342960113106

Merit-based Incentive Payment System (MIPS)

Final score
87.55 of 100Reported as group
Quality
77.91
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1576
Removal or shaving of skin growth63
Skin biopsy291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230390VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology PLC Dermatology CurrentSince Jul 1, 2001 Accepting new patients

Locations

320 Winding River Ln
Ste 301
Charlottesvle, VA 22911
Phone (434) 296-0113

307A N Madison Rd
Orange, VA 22960
Phone (540) 672-6591

Interoperability endpoints

  • Direct secure messaging: drb@dermatologyplc.emadirect.md

Organizations & group practices 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245231547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WINDING RIVER LN",
            "address_2": "SUITE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113569",
            "telephone_number": "434-296-0113",
            "fax_number": "434-293-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WINDING RIVER LN",
            "address_2": "SUITE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113569",
            "telephone_number": "434-296-0113",
            "fax_number": "434-293-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "BURTON",
        "middle_name": "VON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101230390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005900484",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "212741",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.