Individual provider Active NPI

Geoffrey Michael Burns, M.D.

  • Family Medicine Physician
  • Wellesley Hills, MA
National Provider Identifier
1700873130
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155576 Issued in MA
Practice address
332 Washington St
Suite 200
Wellesley Hills, MA 02481-6219
Phone
(781) 235-4088
Fax
(781) 235-1313
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 155576 MA Primary

Addresses

Primary practice location

332 Washington St
Suite 200
Wellesley Hills, MA 02481-6219

Mailing address

332 Washington St
Suite 200
Wellesley Hills, MA 02481-6219
Phone (781) 235-4088

Other identifiers 1

IdentifierTypeStateIssuer
3197603MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041028000714 MA Practitioner - Family PracticePractitioner - Internal Medicine 5294797627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renaissance Family Medicine of Wellesley LLCGroup PAC ID 5395978431, 2 clinicians

Practice addresses (Care Compare)

332 Washington St
Suite 200
Wellesley, MA 02481-6217
Phone (781) 235-4088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155576MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Family Medicine of Wellesley LLC Family Medicine CurrentSince Mar 1, 2014 Accepting new patients

Locations

332 Washington St
Ste 200
Wellesley Hls, MA 02481
Phone (781) 235-4088

Interoperability endpoints

  • Direct secure messaging: geoffrey.burns.1@8897.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8897/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1700873130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-235-4088",
            "fax_number": "781-235-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-235-4088",
            "fax_number": "781-235-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "GEOFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "155576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3197603",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.