Active NPI
Dustin Burnham
- Anesthesiologist Assistant
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA586
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (321) 434-7144
- NPI assigned
- Oct 6, 2016
- Last updated
- Apr 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA586 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
1775 W Hibiscus Blvd Ste 215
Melbourne, FL 32901-2627
Phone (321) 837-3820
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-5210
Phone (352) 273-8610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 36TH St
Suite 244
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA586 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1775 W Hibiscus Blvd
Ste 215
Melbourne, FL 32901
Phone (321) 255-9671
1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 6
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.
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Anesthesiologist Assistant
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
dba Irhs-Cardiology North
- Cardiovascular Disease Physician
- Sebastian, FL
- NPI 1659651990
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1346790011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 W HIBISCUS BLVD STE 215",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012627",
"telephone_number": "321-837-3820",
"fax_number": "321-837-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-7144"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326105210",
"country_code": "US",
"telephone_number": "352-273-8610",
"fax_number": "352-273-8612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNHAM",
"first_name": "DUSTIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-06",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.