Individual provider Active NPI

Jay Burmeister, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Davenport, IA
National Provider Identifier
1740629906
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
DO-05180 Issued in IA
Practice address
3385 Dexter CT Ste 101
Davenport, IA 52807-3471
Phone
(563) 359-1646
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 036145258 IL
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X DO-05180 IA Primary

Addresses

Primary practice location

3385 Dexter CT Ste 101
Davenport, IA 52807-3471

Mailing address

3385 Dexter CT Ste 101
Davenport, IA 52807-3471
Phone (563) 359-1646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180630000144 IA Practitioner - Otolaryngology 2264730563 Reassigns benefits to 1 organization
I20180807001457 IL Practitioner - Otolaryngology 2264730563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
College of Physicians and Surgeons (Iowa), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Professional Services PCGroup PAC ID 8426949298, 9 clinicians

Practice addresses (Care Compare)

3385 Dexter CT
Suite 101
Davenport, IA 52807-3471
Phone (563) 359-1646

600 John Deere Rd
Suite 400
Moline, IL 61265-6812
Phone (563) 359-1646

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05180IAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Professional Services, PC CurrentSince Aug 1, 2018 Accepting new patients
ENT Hearing AIDS, LLC PastSince Sep 20, 2020 Accepting new patients

Locations

3385 Dexter Ct
Ste 101
Davenport, IA 52807
Phone (319) 359-1646

600 John Deere Rd
Ste 400
Moline, IL 61265
Phone (309) 779-4600

Interoperability endpoints

  • Direct secure messaging: jburmeister@entprofessional.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.237

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1740629906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT STE 101",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-359-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 DEXTER CT STE 101",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073471",
            "telephone_number": "563-359-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURMEISTER",
        "first_name": "JAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-07-18",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IL",
            "license": "036145258",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IA",
            "license": "DO-05180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.