Individual provider Active NPI

Charles Randall Burns, M.D.

  • Cardiovascular Disease Physician
  • Huntsville, AL
National Provider Identifier
1700856531
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10936 Issued in AL
Practice address
930 Franklin St SE
Huntsville, AL 35801-4312
Phone
(256) 539-4080
Fax
(256) 539-4099
NPI assigned
Jan 24, 2006
Last updated
Dec 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10936 AL Primary
Interventional Cardiology Physician 207RI0011X 10936 AL

Addresses

Primary practice location

930 Franklin St SE
Huntsville, AL 35801-4312

Mailing address

930 Franklin St SE
Huntsville, AL 35801-4312
Phone (256) 539-4080

Other identifiers 20

IdentifierTypeStateIssuer
112193MedicaidAL
515-99670OtherALBCBS
25-10204OtherUNITED HEALTHCARE
4121926OtherAETNA
510-49209OtherALBCBS
515-98499OtherALBCBS
0176831OtherTNBCBS
060037256OtherRAILROAD MEDICARE
112189MedicaidAL
112202MedicaidAL
51031072OtherALBCBS
000031072MedicaidAL
510-49206OtherALBCBS
510-49207OtherALBCBS
112192MedicaidAL
510-49208OtherALBCBS
112203MedicaidAL
112190MedicaidAL
3333981MedicaidTN
P00765705OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090821000020 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8921027426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of South Alabama College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Bob Wallace Ave SW
Suite a
Huntsville, AL 35801-3843
Phone (256) 963-9483

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10936ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physicians Network CurrentSince Jul 1, 2020 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

930 Franklin St SE
Huntsville, AL 35801

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

Organizations & group practices 2

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 5

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.

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1700856531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-539-4080",
            "fax_number": "256-539-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014312",
            "telephone_number": "256-539-4080",
            "fax_number": "256-539-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CHARLES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "10936",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "10936",
            "primary": false
        }
    ],
    "identifiers": [
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "25-10204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4121926",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "BCBS",
            "identifier": "510-49209",
            "state": "AL"
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        {
            "code": "01",
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            "issuer": "BCBS",
            "identifier": "515-98499",
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        {
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            "state": "TN"
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        {
            "code": "01",
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            "issuer": "RAILROAD MEDICARE",
            "identifier": "060037256",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112189",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112202",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51031072",
            "state": "AL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000031072",
            "state": "AL"
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-49206",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-49207",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112192",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-49208",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112203",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112190",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3333981",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00765705",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.