Mitchell David Burnbaum, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DR.0020923 Issued in CO

Practice address

551 Kokopelli Blvd Unit G
Fruita, CO 81521-6305

Phone

(970) 243-9180

Fax

(970) 245-2697

NPI assigned

Jan 20, 2006

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Neurology

Education

Virginia Commonwealth University, School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health St. Mary's Regional Hospital Hospital, Grand Junction, CO, CCN 060023
• Family Health West Hospital Hospital, Fruita, CO, CCN 061302
• Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
• Community Hospital Hospital, Grand Junction, CO, CCN 060054
• Grand River Hospital District Hospital, Rifle, CO, CCN 061317

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lower Valley Hospital Association

  dba FHW Physician Services

  • Anesthesiology Physician
  • Fruita, CO
  • NPI 1609190206

  Neurology

  Medicare reassignment NPD
• Lower Valley Hospital Association

  dba Family Health West Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Fruita, CO
  • NPI 1346095098
  NPD
• Lower Valley Hospital Association

  dba Family Health West Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Fruita, CO
  • NPI 1659979383
  NPD
• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  NPD (past)

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

• Colorado West Healthcare System

  dba Community Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1497723407
  Care Compare affiliation
• Delta County Memorial Hospital

  dba Delta Health

  • Rural Acute Care Hospital
  • Delta, CO
  • NPI 1417935446
  Care Compare affiliation
• Grand River Hospital District

  dba Grand River Medical Center

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Care Compare affiliation
• Lower Valley Hospital Association

  dba Family Health West

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's CareFlight

  • Ambulance
  • Grand Junction, CO
  • NPI 1164060877

  Hospital

  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Anticoagulation Clinic

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  Care Compare affiliation
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Hospital & Medical Center Life Center OT/PT/SP

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1821647801
  Care Compare affiliation
• St. Mary's Hospital and Medical Center, Inc.

  dba Intermountain Health St Mary's Regional Hospital

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1699716027
  Care Compare affiliation

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1700866159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-243-9180",
            "fax_number": "970-245-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD UNIT G",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-243-9180",
            "fax_number": "970-245-2697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Ottley Ave",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815212118",
            "country_code": "US",
            "telephone_number": "970-858-3900",
            "fax_number": "970-858-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2530 N 8th St",
            "address_2": "Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018857",
            "country_code": "US",
            "telephone_number": "970-243-9180",
            "fax_number": "970-245-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNBAUM",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0020923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mitchellburnbaum1@fhwco.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "551 Kokopelli Blvd Unit G",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815216305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian K Belnap MD PLLC
• Sheri Louise Brinker, MD
• Meredith A Bryson, L.P.N
• Harlan J. Bullinger, PA
• Kelsey Veneman Bumgarner, DMD
• Lynsay Bush, DO
• By Your Side Home Care
• Melissa A. Campbell, SLP
• Eva Marie Cappiello, ARNP
• Richard Allan Cappiello, MD

• Neurology Physician in Fruita, CO
• Providers in Fruita, CO by specialty
• Neurology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.