Active NPI
Irene a Burns
- Pediatrics Physician
- Batavia, NY
National Provider Identifier
1295026375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 149987
- Legal business name
- IRENE A BURNS
- Practice address
- 229 Summit St
Suite 4
Batavia, NY 14020-1645 - Phone
- (585) 344-2504
- Fax
- (585) 815-4304
- NPI assigned
- Apr 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irene A Burns
- Title
- Sole Proprietor
- Phone
- (585) 344-2504
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 149987 | NY | Primary |
| Pediatrics Physician | 208000000X | 256183 | NY |
Addresses
Primary practice location
229 Summit St
Suite 4
Batavia, NY 14020-1645
Mailing address
229 Summit St
Suite 4
Batavia, NY 14020-1645
Phone (585) 344-2504
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00029358101 | Other | UNIVERA | |
| 0094176 | Other | GHI | |
| 0220 | Other | BC/BS ROCHESTER | |
| 03238084 | Medicaid | NY | |
| 000508592001 | Other | BC/BS WESTERN NEW YORK | |
| 00706547 | Medicaid | NY | |
| 00010023201 | Other | UNIVERA | |
| 000532478001 | Other | BC/BS WESTERN NEW YORK | |
| 1216288 | Other | INDEPENDENT HEALTH | |
| MDA130 | Other | PREFERRED CARE | |
| 1206848 | Other | INDEPENDENT HEALTH | |
| P010149987 | Other | BLUE CHOICE | |
| P010256183 | Other | BLUE CHOICE | |
| P020256183 | Other | BC/BS ROCHESTER | |
| 03238084 | Other | PREFERRED CARE |
Other names 1
- Summit Pediatrics
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303689600000",
"number": "1295026375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 SUMMIT ST",
"address_2": "SUITE 4",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201645",
"telephone_number": "585-344-2504",
"fax_number": "585-815-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 SUMMIT ST",
"address_2": "SUITE 4",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201645",
"telephone_number": "585-344-2504",
"fax_number": "585-815-4304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRENE A BURNS",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-25",
"last_updated": "2011-04-25",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "585-344-2504",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "149987",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "256183",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00029358101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0094176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ROCHESTER",
"identifier": "0220",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03238084",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS WESTERN NEW YORK",
"identifier": "000508592001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00706547",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010023201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS WESTERN NEW YORK",
"identifier": "000532478001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1216288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MDA130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1206848",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010149987",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010256183",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ROCHESTER",
"identifier": "P020256183",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "03238084",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Summit Pediatrics",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.