NPIMap

Individual provider Active NPI

Deepinder S. Burn, M.D.

  • Internal Medicine Physician
  • Wiggins, MS
National Provider Identifier
1639182124
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16102 Issued in MS
Practice address
975 Hall St
Wiggins, MS 39577-2107
Phone
(601) 528-9119
Fax
(601) 528-9193
NPI assigned
Aug 14, 2006
Last updated
Jul 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16102 MS Primary

Addresses

Primary practice location

975 Hall St
Wiggins, MS 39577-2107

Mailing address

PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 528-9119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000306 MS Practitioner - Internal Medicine 0143274316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiggins Primary CareGroup PAC ID 5890737019, 7 clinicians

Practice addresses (Care Compare)

975 Hall St
Wiggins, MS 39577-2107
Phone (601) 947-8181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16102MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George County Hospital Current Accepting new patients
Wiggins Primary Care CurrentSince Jun 1, 2005 Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Community Medical Center Internal Medicine Past Accepting new patients
Heartsouth PLLC Internal Medicine Past Accepting new patients
Inpatient Physician Services Past Accepting new patients

Locations

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

975 Hall St
Wiggins, MS 39577
Phone (601) 528-9119

Interoperability endpoints

  • Direct secure messaging: deepinderburn@communitym.allscriptsdirect.net
  • Direct secure messaging: deepinderburn@grh.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 62

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1639182124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394521007",
            "telephone_number": "601-528-9119",
            "fax_number": "601-528-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772107",
            "telephone_number": "601-528-9119",
            "fax_number": "601-528-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURN",
        "first_name": "DEEPINDER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

Verify at the official NPI Registry.