Individual provider Active NPI

Richard Burgett, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Carmel, IN
National Provider Identifier
1336147230
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
1041553 Issued in IN
Practice address
11220 Illinois St Ste 220
Carmel, IN 46032-9847
Phone
(317) 817-1976
Fax
(317) 817-1737
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 1041553 IN Primary
Ophthalmology Physician 207W00000X IN01041553 IN

Addresses

Primary practice location

11220 Illinois St Ste 220
Carmel, IN 46032-9847

Mailing address

10300 N Illinois St
Suite 2020
Indianapolis, IN 46290-1166
Phone (317) 817-1976

Other identifiers 1

IdentifierTypeStateIssuer
200140100MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101113000031 IN Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 4789784232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Plastic Surgery IncGroup PAC ID 6800832635, 5 clinicians

Practice addresses (Care Compare)

11220 Illinois St
Suite 220
Carmel, IN 46032-8887

5091 W Bethel Ave
Muncie, IN 47304-8511
Phone (317) 817-1976

7920 W Jefferson Blvd
Suite 230
Fort Wayne, IN 46804-4166
Phone (260) 440-2201

7950 W Jefferson Blvd
Lutheran Hospital
Fort Wayne, IN 46804-4140
Phone (800) 444-2001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN01041553INMDOphthalmology Physician
1041553INMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Eye Care Inc. Ophthalmology Past Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1336147230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "address_2": "SUITE 2020",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901166",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 220",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1976",
            "fax_number": "317-817-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "1041553",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "IN01041553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200140100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.