NPIMap

Individual provider Active NPI

Jeffrey O Burnett, DO

  • Internal Medicine Physician
  • Williamsville, NY
National Provider Identifier
1346226271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223801 Issued in NY
Practice address
11 W Spring St
Williamsville, NY 14221-5438
Phone
(716) 565-3605
Fax
(716) 565-3609
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223801 NY Primary

Addresses

Primary practice location

11 W Spring St
Williamsville, NY 14221-5438

Mailing address

11 W Spring St
Williamsville, NY 14221-5438
Phone (716) 565-3605

Other identifiers 3

IdentifierTypeStateIssuer
000526972001OtherNYBLUE CROSS WDY
0111505OtherNYINDEPENDENT HEALTH
02335197MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000214 NY Practitioner - Family Practice 9234119884 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Niagara Falls Memorial Medical CenterGroup PAC ID 0244134484, 67 clinicians

Practice addresses (Care Compare)

11 W Spring St
Williamsville, NY 14221-5438
Phone (716) 565-3605

620 10TH St
Niagara Falls, NY 14301-1841

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

6934 Williams Rd
Niagara Falls, NY 14304-3080
Phone (716) 297-8260

Hospital & facility affiliations

  • Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Niagara Hospice Inc Hospice, Lockport, NY, CCN 331530
  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223801NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Jun 18, 2012 Accepting new patients
Niagara Falls Memorial Medical Center Internal Medicine CurrentSince Jun 18, 2012 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Apr 20, 2016 Accepting new patients
JGB Rehabilitation Corp. Past Accepting new patients

Locations

620 10th St
Ste 709
Niagara Falls, NY 14301
Phone (716) 205-0743

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

6934 Williams Rd
Ste 200
Niagara Falls, NY 14304
Phone (716) 297-8260

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • Direct secure messaging: jeffrey.burnett@nfmmc.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 4

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 12

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346226271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W SPRING ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215438",
            "telephone_number": "716-565-3605",
            "fax_number": "716-565-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W SPRING ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215438",
            "telephone_number": "716-565-3605",
            "fax_number": "716-565-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JEFFREY",
        "middle_name": "O",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WDY",
            "identifier": "000526972001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0111505",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02335197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.