Individual provider Active NPI

Jarrett M. Burns, DO

  • Emergency Medicine Physician
  • Manchester, NH
National Provider Identifier
1659420404
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A18898 Issued in CA
Practice address
1 Elliot Way
Manchester, NH 03103-3599
Phone
(603) 669-5300
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18409 NH
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 236596 MA
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 18409 NH
Emergency Medicine Physician 207P00000X 20A18898 CA Primary
Emergency Medicine Physician 207P00000X 236596 MA

Addresses

Primary practice location

1 Elliot Way
Manchester, NH 03103-3599

Mailing address

14150 Culver Dr
Ste 100
Irvine, CA 92604-0322
Phone (949) 552-4584

Other identifiers 1

IdentifierTypeStateIssuer
110081828AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jburns103577@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, CA, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090807000533 MA Practitioner - Emergency MedicinePractitioner - Medical Toxicology 5395898316 Reassigns benefits to 1 organization
I20180131001621 NH Practitioner - Emergency Medicine 5395898316 Reassigns benefits to 1 organization
I20211118002851 CA Practitioner - Emergency Medicine 5395898316 Reassigns benefits to 1 organization
I20220215000099 SC Practitioner - Emergency Medicine 5395898316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians
Waccamaw Community HospitalGroup PAC ID 9133036932, 65 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 314-6900

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18898CAMDEmergency Medicine Physician
18409NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Waccamaw Community Hospital CurrentSince Mar 1, 2022 Accepting new patients
Elliot Professional Services Emergency Medicine CurrentSince Jan 10, 2018 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
Memorialcare Medical Foundation CurrentSince Nov 15, 2021 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

14150 Culver Dr
Ste 100
Irvine, CA 92604
Phone (949) 552-4584

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

70 East St
Methuen, MA 01844
Phone (978) 682-1906

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jburns447817@direct.musc.edu
  • Direct secure messaging: jburns103577@umassmemorial.direct-ci.com
  • Direct secure messaging: jburns718870@direct.memorialcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1659420404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 CULVER DR",
            "address_2": "STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040322",
            "telephone_number": "949-552-4584",
            "fax_number": "949-551-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELLIOT WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033599",
            "telephone_number": "603-669-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JARRETT",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "18409",
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "MA",
            "license": "236596",
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "NH",
            "license": "18409",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A18898",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "236596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110081828A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jburns103577@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.