Active NPI
Megan Diane Burcham
- Pediatric Hematology & Oncology Physician
- Grand Rapids, MI
National Provider Identifier
1396233607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 4301504780
- Practice address
- 100 Michigan St NE
Grand Rapids, MI 49503-2560 - Phone
- (616) 267-1925
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 4301504780 | MI | Primary |
| Pediatrics Physician | 208000000X | 4301504780 | MI |
Addresses
Primary practice location
100 Michigan St NE
Grand Rapids, MI 49503-2560
Mailing address
7714 Cidermill Dr SE
Grand Rapids, MI 49508-7606
Phone (260) 908-6537
Other practice location 1
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-5000
Other practice location 2
4660 S Hagadorn Rd Ste 405
East Lansing, MI 48823-6819
Phone (517) 364-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Indiana University School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
804 Service Rd
East Lansing, MI 48824-7015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301504780 | MI | MD | Pediatric Hematology & Oncology Physician |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1396233607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 CIDERMILL DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495087606",
"telephone_number": "260-908-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "616-267-1925"
}
],
"practiceLocations": [
{
"address_1": "705 Riley Hospital Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025109",
"country_code": "US",
"telephone_number": "317-944-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4660 S Hagadorn Rd Ste 405",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236819",
"country_code": "US",
"telephone_number": "517-364-5440",
"fax_number": "517-364-5409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURCHAM",
"first_name": "MEGAN",
"middle_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "MI",
"license": "4301504780",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301504780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.