Deepinder S. Burn, M.D.
Individual provider Active NPI Internal Medicine Physician · Wiggins, MS
NPI 1639182124 · NPPES record last updated Jul 28, 2011
Key facts
- NPI
- 1639182124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 16102 (MS)
- Practice address
- 975 Hall St
Wiggins, MS 39577-2107 - Phone
- (601) 528-9119
- Fax
- (601) 528-9193
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 62
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- New York Medical College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wiggins Primary Care
Practice addresses (Care Compare)
975 Hall St
Wiggins, MS 39577-2107
Phone (601) 947-8181
Hospital & facility affiliations
- Vitalcaring Group
- George Regional Health System
- Memorial Hospital at Gulfport
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 24 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050310000306 | MS | Practitioner - Internal Medicine | 0143274316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16102 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiggins Primary Care | Current |
Accepting new patients | |
| George County Hospital | Current | Accepting new patients | |
| Community Medical Center | Internal Medicine | Past | Accepting new patients |
| Heartsouth PLLC | Internal Medicine | Past | Accepting new patients |
| Stone County Hospital, Inc | Past | Accepting new patients | |
| Inpatient Physician Services | Past | Accepting new patients | |
| George Regional Radiology | 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
- deepinderburn@grh.medalliesdirect.net
- deepinderburn@communitym.allscriptsdirect.net
- https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/IBHCBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16102 | MS | Yes |
Addresses
Primary practice location
975 Hall St
Wiggins, MS 39577-2107
Mailing address
PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 528-9119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C03308 | Other | MS | MEDICARE CAHABA |
| P00447532 | Other | MS | MEDICARE RAILROAD |
| 0121088 | Medicaid | MS |
Other providers in Wiggins, MS
- Tyler Beall
- William Walton Beazley
- Heather N. Bond
- Wendalyn Bostic
- Emily Anne Burger
- Mary Catherine Buzhardt
- Jackson Thomas Cain
- Joseph J. Cain
- Logan Campbell
- Children'S International, LLC
All providers in Wiggins, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2011. 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.