NPIMap

Individual provider Active NPI

Derrick Kenneth Burno, MD

  • Urology Physician
  • Lincolnton, NC
National Provider Identifier
1376514067
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2016-01452 Issued in NC
Practice address
441 McAlister Rd
Ste 1200
Lincolnton, NC 28092-4126
Phone
(980) 212-6200
NPI assigned
Jan 30, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2016-01452 NC Primary

Addresses

Primary practice location

441 McAlister Rd
Ste 1200
Lincolnton, NC 28092-4126

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255

Other practice location 2

1585 Forney Creek Pkwy
Ste 2350
Denver, NC 28037-9514
Phone (980) 212-6200

Other practice location 3

1021 Morehead Medical Dr
Ste 6100
Charlotte, NC 28204-2990
Phone (980) 442-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dburno415398@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20161010000064 NC Practitioner - Urology 4082690805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

441 McAlister Rd
Suite 1200
Lincolnton, NC 28092-4127
Phone (980) 212-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Urology CurrentSince Mar 11, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Medical Center Urology CurrentSince Mar 11, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 11, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Mar 11, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Atlantic Lithotripsy PastSince Dec 10, 2023 Accepting new patients
Center for Advanced Urology Urology Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1021 Morehead Medical Dr
Ste 6100
Charlotte, NC 28204
Phone (704) 355-1813

1023 Edgehill Rd S
Charlotte, NC 28207
Phone (704) 355-8686

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

1585 Forney Creek Pkwy
Ste 2350
Denver, NC 28037
Phone (980) 212-4000

441 McAlister Rd
Ste 1200
Lincolnton, NC 28092
Phone (980) 212-6200

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

Interoperability endpoints

  • Direct secure messaging: dburno415398@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1376514067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MCALISTER RD",
            "address_2": "STE 1200",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924126",
            "telephone_number": "980-212-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 Forney Creek Pkwy",
            "address_2": "Ste 2350",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280379514",
            "country_code": "US",
            "telephone_number": "980-212-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Morehead Medical Dr",
            "address_2": "Ste 6100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042990",
            "country_code": "US",
            "telephone_number": "980-442-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNO",
        "first_name": "DERRICK",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2016-01452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dburno415398@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "441 McAlister Rd",
            "address_2": "Ste 1200",
            "city": "Lincolnton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280924126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

Verify at the official NPI Registry.