Individual provider Active NPI

Jonathan Tyler Burnham, PA

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1740900927
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9116438 Issued in FL
Practice address
1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737
Phone
(407) 629-2444
Fax
(407) 643-2804
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL
Surgical Physician Assistant 363AS0400X PA9116438 FL Primary

Addresses

Primary practice location

1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737

Mailing address

1900 N Alafaya TRL Ste 900
Orlando, FL 32826-4737
Phone (407) 629-2444

Other practice location 1

740 W Plymouth Ave
Deland, FL 32720-3282
Phone (386) 734-9122 ext. 1040

Other practice location 2

701 Platinum Pt
Lake Mary, FL 32746-4871
Phone (407) 206-4500

Other identifiers 1

IdentifierTypeStateIssuer
116706300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929003176 FL Practitioner - Physician Assistant 8729464631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1285 Orange Ave
Winter Park, FL 32789-4984
Phone (407) 647-2287

32 W Gore St
Orlando, FL 32806-1134

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 767-1200

60 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

62 Columbia St
Orlando, FL 32806-1115
Phone (321) 843-5851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116438FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Orthopaedic Associates PA CurrentSince Sep 19, 2022 Accepting new patients
Florida Orthopaedic Associates PA CurrentSince Sep 19, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients

Locations

740 W Plymouth Ave
Deland, FL 32720
Phone (386) 734-9122

701 Platinum Pt
Lake Mary, FL 32746
Phone (407) 206-4500

1900 N Alafaya Trl
Ste 900
Orlando, FL 32826
Phone (407) 380-8705

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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 1

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1740900927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N ALAFAYA TRL STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264737",
            "telephone_number": "407-629-2444",
            "fax_number": "407-643-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N ALAFAYA TRL STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264737",
            "telephone_number": "407-629-2444",
            "fax_number": "407-643-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 W Plymouth Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327203282",
            "country_code": "US",
            "telephone_number": "386-734-9122 x1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Platinum Pt",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464871",
            "country_code": "US",
            "telephone_number": "407-206-4500",
            "fax_number": "407-643-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "JONATHAN",
        "middle_name": "TYLER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9116438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116706300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.