Andrew Martin Burns, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1000105A Issued in IN

Practice address

10485 N Pennsylvania St
Suite 150
Indianapolis, IN 46280-1097

Phone

(317) 848-2427

Fax

(317) 848-2434

NPI assigned

Oct 14, 2008

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

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Inc.Group PAC ID 4587604962, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5662/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 and National Provider Directory roles.

• Dermatology Inc

  • Dermatology Physician
  • Greenwood, IN
  • NPI 1053421610
  Medicare reassignment Care Compare group
• Dermatology Inc

  • Dermatopathology Physician
  • Carmel, IN
  • NPI 1033203815
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Swan Dermatology Center, PC

  • Dermatology Physician
  • Lafayette, IN
  • NPI 1194757518
  NPD (past)
• The Dermatology Group, Inc

  • Dermatology Physician
  • Mason, OH
  • NPI 1780617860
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1487806006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 N PENNSYLVANIA ST",
            "address_2": "SUITE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801097",
            "telephone_number": "317-848-2427",
            "fax_number": "317-848-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 N PENNSYLVANIA ST",
            "address_2": "SUITE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462801097",
            "telephone_number": "317-848-2427",
            "fax_number": "317-848-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ANDREW",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104831",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "1000105A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "10001050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel T Burnette, MD
• Peggy Leona Burnette, R.N.
• Shontamae Burnette
• Brittony Burnham, LSW, MSW
• Jason Burnham
• Brian Rondale Burns
• Bruce Hinkle Burns, O.D.
• Christopher A Burns, DDS
• Edward Ross Burns, L.M.F.T.
• Emma Jean Burns

• Medical Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.