NPIMap

Individual provider Active NPI

Stephen James Burgun, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Chardon, OH
National Provider Identifier
1396831798
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35-071102 Issued in OH
Practice address
13221 Ravenna Rd Ste 1
Chardon, OH 44024-9016
Phone
(440) 285-3621
Fax
(440) 285-3625
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 33851 AZ
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35-071102 OH Primary

Addresses

Primary practice location

13221 Ravenna Rd Ste 1
Chardon, OH 44024-9016

Mailing address

PO Box 8792
Belfast, ME 04915-8792
Phone (440) 285-3621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephenburgun@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040413001461 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 0042204869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Suite 203
Conneaut, OH 44030-2039
Phone (440) 285-2960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33851AZMDEndocrinology, Diabetes & Metabolism Physician
35-071102OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Nov 1, 2009 Accepting new patients
University Primary Care Practices Inc CurrentSince Nov 1, 2009 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Regional Practices LLC Past Accepting new patients
Osu Internal Medicine, LLC Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

13221 Ravenna Rd
Ste 12
Chardon, OH 44024
Phone (216) 286-5433

13241 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-9166

7500 Auburn Rd
Ste 2300
Concord Township, OH 44077
Phone (440) 354-9900

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: sburgun37143@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1396831798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-285-3621",
            "fax_number": "440-285-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 RAVENNA RD STE 1",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249016",
            "telephone_number": "440-285-3621",
            "fax_number": "440-285-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGUN",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AZ",
            "license": "33851",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35-071102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephenburgun@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13221 Ravenna Rd Ste 1",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440249016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.