Jake Michael Burnbaum, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

BC60682237 Issued in WA

Practice address

314 MLK Jr. Way
Suite 300
Tacoma, WA 98405

Phone

(253) 274-1668

Fax

(253) 274-1685

NPI assigned

May 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Anesthesiology

Education

Jefferson Medical College of Thomas Jefferson University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Medical Group of S B IncGroup PAC ID 0446146914, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

Merit-based Incentive Payment System (MIPS)

Final score

33.98 of 100Reported as group

Quality

39.97

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Anesthesia Medical Group of S B, Inc.

  • Anesthesiology Physician
  • Santa Barbara, CA
  • NPI 1730287160
  Medicare reassignment Care Compare group

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

• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1699068106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 6TH AVE",
            "address_2": "N1603",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212933",
            "telephone_number": "310-490-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MLK JR. WAY",
            "address_2": "SUITE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-274-1668",
            "fax_number": "253-274-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNBAUM",
        "first_name": "JAKE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "BC60682237",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pari Kristina Burkhardt, R.T. (R)(M)
• Tricia Ann Burks, LMHC
• Sean Gregory Burleson, RPH
• Marilyn J Burmark, ARNP
• June A Burn, M.D.
• Nyema Kayla Burnes
• Ambrosia L Burnett
• Tasha Burnett
• Alicia Sade Burnette
• Jessica Carol Suitor Burnham, LCSW

• Anesthesiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.

Verify at the official NPI Registry.