Kevin John Burns, PA C
Individual provider Active NPI Physician Assistant · New Haven, CT
NPI 1487642153 · NPPES record last updated Aug 4, 2008
Key facts
- NPI
- 1487642153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 20 York St
Yale New Haven Hospital South Pavilion 218
New Haven, CT 06510-3220 - Phone
- (203) 688-2222
- Fax
- (203) 785-4580
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040915000549 | CT | Practitioner - Physician Assistant | 2062489305 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222 | CT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current |
Accepting new patients | |
| Midstate Medical Center | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients | |
| Yale University | Current |
Accepting new patients | |
| Connecticut Em-1 Medical Services, PC | Past | Accepting new patients |
Locations
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
20 York St
North Haven, CT 06510
Phone (203) 688-2433
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
20 York St
Yale New Haven Hospital South Pavilion 218
New Haven, CT 06510-3220
Mailing address
PO Box 9805
300 George St 6TH Floor
New Haven, CT 06536-0805
Other providers in New Haven, CT
- Olivia Burke
- Martina Seraina Burn
- Adrienne Joy Burns
- Autumn Burns
- Deborah Ann Burns
- Alicia Burr
- Morton I Burrell
- Cherish Burruss
- Barbara A Burtness
- Aaron Edward Burton
All providers in New Haven, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.