Active NPI
Randel Phillip Burns, M.D.
- Surgery Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD5824
- Practice address
- 979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136 - Phone
- (423) 267-0466
- Fax
- (423) 778-8168
- NPI assigned
- Sep 8, 2005
- Last updated
- Feb 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD5824 | TN | |
| Surgery Physician | 208600000X | MD5824 | TN | Primary |
Addresses
Primary practice location
979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136
Mailing address
979 E 3Rd St
Ste 300
Chattanooga, TN 37403-2136
Phone (423) 267-0466
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740066 | Other | UHC | |
| 009934250 | Medicaid | AL | |
| 62165877415 | Other | JDH | |
| 2001212 | Other | BCBS OF TN | |
| 00134879A | Medicaid | GA | |
| 010061950 | Other | RR MEDICARE | |
| 3155570 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2187
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5824 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, PLLC | Surgery | Current | Accepting new patients |
| University Surgical Associates PC | Surgery | Past | Accepting new patients |
Locations
979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792
935 Spring Creek Rd
Ste 103
East Ridge, TN 37412
Phone (423) 756-4796
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772
- randel.burns.1@33371.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Erlanger Murphy Medical Group, Hayesville | Rural health clinic | Corporate Director | Feb 27, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Erlanger Primary Care - Hayesville
- Rural Health Clinic/Center
- Hayesville, NC
- NPI 1194196550
Corporate Director
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Chattanooga, TN
- NPI 1972520963
-
- Surgery Physician
- Chattanooga, TN
- NPI 1437102704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1285628990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-267-0466",
"fax_number": "423-778-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 E 3RD ST",
"address_2": "STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032136",
"telephone_number": "423-267-0466",
"fax_number": "423-778-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "RANDEL",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD5824",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "MD5824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1740066",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934250",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JDH",
"identifier": "62165877415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "2001212",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00134879A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "010061950",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3155570",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.