Active NPI
Floyd Randell Burton, M.D.
- Pediatrics Physician
- Roanoke, VA
National Provider Identifier
1700877404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101239505
- Practice address
- 21 Highland Ave SE Ste 100
Roanoke, VA 24013-2218 - Phone
- (540) 344-9213
- Fax
- (540) 345-7559
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101239505 | VA | Primary |
Addresses
Primary practice location
21 Highland Ave SE Ste 100
Roanoke, VA 24013-2218
Mailing address
21 Highland Ave SE Ste 100
Roanoke, VA 24013-2218
Phone (540) 344-9213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010258936 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | frandell.burton.p1@direct.physicianstochildren.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239505 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians to Children, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- frandell.burton.p1@direct.physicianstochildren.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1700877404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE SE STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132218",
"telephone_number": "540-344-9213",
"fax_number": "540-345-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE SE STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132218",
"telephone_number": "540-344-9213",
"fax_number": "540-345-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "FLOYD",
"middle_name": "RANDELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101239505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010258936",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "frandell.burton.p1@direct.physicianstochildren.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "21 Highland Ave SE Ste 100",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240132218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.