Jordan M Burnham, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

307857 Issued in LA

Practice address

303 Veterans Blvd Ste a
Denham Springs, LA 70726-4723

Phone

(225) 523-7624

Fax

(225) 523-7625

NPI assigned

Jun 29, 2012

Last updated

May 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Ophthalmology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Retina a Professional Medical CorporationGroup PAC ID 2668883729, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.05 of 100Reported as group

Quality

82.12

Promoting interoperability

100

Improvement activities

40

Cost

71.37

Merit-based Incentive Payment System (MIPS)

Final score

98.56 of 100Reported as group

Quality

97.13

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18004/brand/1/csg/1/fhir/r4

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.

• Louisiana Retina a Professional Medical Corporation

  • Ophthalmology Physician
  • Denham Springs, LA
  • NPI 1235738634
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin Guidry MD LLC

  dba Retina Consultants of New Orleans

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
  • NPI 1184116204
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1427312800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VETERANS BLVD STE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264723",
            "telephone_number": "225-523-7624",
            "fax_number": "225-523-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 VETERANS BLVD STE A",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264723",
            "telephone_number": "225-523-7624",
            "fax_number": "225-523-7625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Bluebonnet Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708095602",
            "country_code": "US",
            "telephone_number": "225-523-7624",
            "fax_number": "225-523-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "JORDAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "307857",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "LA",
            "license": "307857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA MEDICAL LICENSE",
            "identifier": "307857",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@louisianaretina.com",
            "affiliation": "N",
            "address_1": "303 Veterans Blvd Ste A",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707264723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sonya Pace Bueche, PHARMACIST
• McKenna Gean Buhler
• Katy Lyn Bunch, M.S SLP-CF
• Sherri Bozant Bunch, OTR
• Karin T Burnett, RN
• Sherry Deshawn Burton, BS
• Colleen Busby, LPN
• Angelle Domonique Bush, NP
• By Gods Grace Sitter Service
• C Dot E Dot Therapeutic Solutions

• Ophthalmology Physician in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.

Verify at the official NPI Registry.