Active NPI
Sean David Burn, MD
- Diagnostic Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A171343
- Practice address
- 2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688 - Phone
- (844) 389-5711
- Fax
- (877) 880-2039
- NPI assigned
- Jun 3, 2015
- Last updated
- Nov 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2024-01491 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | MD61038146 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | V3566 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | A171343 | CA | Primary |
Addresses
Primary practice location
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Mailing address
2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (844) 389-5711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Connecticut School of Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
San Diego, CA 92129
Phone (833) 433-2567
11324 Almazon St
San Diego, CA 92129-1102
Phone (510) 683-9500
2816 Marketplace Dr
Suite 120
Waco, TX 76711-2487
Phone 83343325672210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171343 | CA | MD | Diagnostic Radiology Physician |
| 2024-01491 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Tri-City Petct LLC | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Stanford Health Care | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Arch Health Partners, Inc | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Ideal MRI, LLC | Current | Accepting new patients | |
| East Texas Radiology Consultants | Diagnostic Radiology | Past | Accepting new patients |
| Vision Radiology Professional Limited Liability Company | Past | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Past | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Internal Medicine | Past | Accepting new patients |
Locations
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
1625 Stockton Blvd
Ste 207
Sacramento, CA 95816
Phone (916) 878-3495
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236
2816 Marketplace Dr
Ste 120
Waco, TX 76711
Phone (903) 663-9074
Interoperability endpoints
- sean.burn.p1@direct.arch.nextgenshare.com
Organizations & group practices 16
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.
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Internal Medicine
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
Internal Medicine
-
dba BRHC Radiology Practice
- Diagnostic Radiology Physician
- Morganton, NC
- NPI 1639244478
CA
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Internal Medicine
-
dba Blue Ridge Transitional Care Clinic
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- San Diego, CA
- NPI 1023425972
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Radiology Clinic/Center
- Vista, CA
- NPI 1154580348
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Amador Hospital
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1669852844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 OAK LAWN AVE UNIT 192749",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194688",
"telephone_number": "844-389-5711",
"fax_number": "877-880-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 OAK LAWN AVE UNIT 192749",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194688",
"telephone_number": "844-389-5711",
"fax_number": "877-880-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURN",
"first_name": "SEAN",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2024-01491",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61038146",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V3566",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A171343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.