Individual provider Active NPI

Sarah Jo McDaniel Burgin, MD

  • Otolaryngology Physician
  • Indianapolis, IN
National Provider Identifier
1639498272
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01077338A Issued in IN
Practice address
362 W 15TH St Ste 3200
Indianapolis, IN 46202-2266
Phone
(317) 963-7082
Fax
(317) 963-7085
NPI assigned
May 21, 2010
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X 01077338A IN Primary

Addresses

Primary practice location

362 W 15TH St Ste 3200
Indianapolis, IN 46202-2266

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

3113 Broadway St
Anderson, IN 46012-1261
Phone (765) 298-4660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SBURGIN@direct.iuhealth.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926002110 IN Practitioner - Otolaryngology 8921315888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

3113 Broadway St
Anderson, IN 46012-1261
Phone (765) 640-9252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology Associates, Inc. Otolaryngology CurrentSince Oct 1, 2016 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 27, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 27, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Indiana Clinic-Neurology, LLC PastSince Jun 1, 2016 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7631 Solutions Ctr
Chicago, IL 60677

3113 Broadway St
Anderson, IN 46012
Phone (765) 298-4660

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

355 W 16th St
Ste 3200
Indianapolis, IN 46202
Phone (317) 963-7400

550 University Blvd
#3170
Indianapolis, IN 46202
Phone (317) 948-3226

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8040 Clearvista Pkwy
Ste 350
Indianapolis, IN 46256

Interoperability endpoints

  • Direct secure messaging: sburgin@direct.iuhealth.org
  • Direct secure messaging: sburgin35099@direct.eskenazihealth.edu
  • Direct secure messaging: sburgin614363@ecommunitydirect.com

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1639498272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 W 15TH ST STE 3200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022266",
            "telephone_number": "317-963-7082",
            "fax_number": "317-963-7085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3113 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460121261",
            "country_code": "US",
            "telephone_number": "765-298-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGIN",
        "first_name": "SARAH",
        "middle_name": "JO MCDANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01077338A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SBURGIN@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "362 W 15th St Ste 3200",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462022266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.