Active NPI
John H Burdakin Jr., M.D.
- Internal Medicine Physician
- Cedar Rapids, IA
National Provider Identifier
1447210380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48592
- Practice address
- 600 7TH St SE
Suite 101
Cedar Rapids, IA 52401-2120 - Phone
- (319) 558-0322
- Fax
- (319) 558-0324
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4301042277 | MI | |
| Internal Medicine Physician | 207R00000X | 48592 | CO | Primary |
Addresses
Primary practice location
600 7TH St SE
Suite 101
Cedar Rapids, IA 52401-2120
Mailing address
600 7TH St SE
Suite 101
Cedar Rapids, IA 52401-2120
Phone (319) 558-0322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87989271 | Medicaid | CO | |
| 102828505 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48592 | CO | MD | Internal Medicine Physician |
| 4301042277 | MI | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1447210380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 7TH ST SE",
"address_2": "SUITE 101",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012120",
"telephone_number": "319-558-0322",
"fax_number": "319-558-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 7TH ST SE",
"address_2": "SUITE 101",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012120",
"telephone_number": "319-558-0322",
"fax_number": "319-558-0324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDAKIN",
"first_name": "JOHN",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301042277",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "48592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87989271",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102828505",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.