Individual provider Active NPI

Heather Nicole Burbank, M.D.

  • Neuroradiology Physician
  • Burlington, VT
National Provider Identifier
1417009549
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
0420011392 Issued in VT
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 864-3592
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 0420011392 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

74 Sweeney Farm Road
Saint Albans, VT 05478
Phone (802) 238-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071015000295 VT Practitioner - Diagnostic Radiology 3779679287 Reassigns benefits to 4 organizations
I20230307001559 FL Practitioner - Diagnostic Radiology 3779679287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

1915 Aloma Ave
Winter Park, FL 32792-3212
Phone (321) 203-5710

208 W Oak St
Simonmed Imaging Kissimmee
Kissimmee, FL 34741-4420
Phone (407) 846-8700

231 Baycrest Dr
South Burlington, VT 05403-7720
Phone (480) 306-6949

265 Citrus Tower Blvd
Clermont, FL 34711-1908
Phone (352) 241-7440

4161 Tamiami TRL
BLDG 2
Port Charlotte, FL 33952-9204
Phone (941) 235-3280

46 Brooke LN
Colchester, VT 05446-4200
Phone (480) 306-6949

6215 21St Ave W a
Simonmed Imaging Park South
Bradenton, FL 34209-7819
Phone (941) 795-4449

775 N Alafaya TRL
Simonmed Imaging Waterford Lakes
Orlando, FL 32828-7047
Phone (321) 235-8700

911 E Oak St
Simonmed Imaging Heritage Square
Kissimmee, FL 34744-5836
Phone (407) 847-3070

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.83 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420011392VTMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC CurrentSince Sep 20, 2021 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Oct 1, 2022 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Sep 20, 2021 Accepting new patients
Howard Simon MD PLLC CurrentSince Sep 20, 2021 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jul 1, 2007 Accepting new patients
Howard John Simon MD PC Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

790 Gail Gardner Way
Prescott, AZ 86305
Phone (928) 776-9900

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

939 N Broadway
Denver, CO 80203
Phone (303) 633-1280

11960 Lioness Way
Ste 140
Parker, CO 80134
Phone (303) 643-0200

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1417009549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SWEENEY FARM ROAD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-238-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-864-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBANK",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VT",
            "license": "0420011392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.