Individual provider Active NPI

Vicki Elaine Burdine, MD

  • Psychiatry Physician
  • Greenwood, IN
National Provider Identifier
1780617092
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01038302A Issued in IN
Practice address
898 E Main St
Greenwood, IN 46143-1407
Phone
(317) 887-1348
Fax
(317) 888-1104
NPI assigned
Jul 9, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01038302A IN Primary

Addresses

Primary practice location

898 E Main St
Greenwood, IN 46143-1407

Mailing address

6362 W Boggstown Rd
Boggstown, IN 46110-9731
Phone (317) 887-1348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050917000011 IN Practitioner - Psychiatry 4284527706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Behavioral Innovations LLCGroup PAC ID 6608286356, 12 clinicians

Practice addresses (Care Compare)

1051 Southfield Dr
Plainfield, IN 46168-2955
Phone (844) 991-9900

Merit-based Incentive Payment System (MIPS)

Final score
58.34 of 100Reported as group
Quality
41.67
Promoting interoperability
0
Improvement activities
40
Cost
81.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Neurology and Pain Center LLC CurrentSince Nov 1, 2023 Accepting new patients
Indiana Neurology and Pain Center LLC CurrentSince Nov 1, 2023 Accepting new patients
Indiana Behavioral Innovations LLC CurrentSince Jan 3, 2022 Accepting new patients
Indiana University Psychiatric Associates, Inc. Psychiatry PastSince Dec 18, 2003 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3850 Shore Dr
Ste 203
Indianapolis, IN 46254
Phone (317) 297-3774

7301 N Shadeland Ave
Ste 1A
Indianapolis, IN 46250
Phone (317) 577-1800

1051 Southfield Dr
Plainfield, IN 46168
Phone (844) 991-9900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780617092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6362 W BOGGSTOWN RD",
            "city": "BOGGSTOWN",
            "state": "IN",
            "postal_code": "461109731",
            "telephone_number": "317-887-1348",
            "fax_number": "317-888-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431407",
            "telephone_number": "317-887-1348",
            "fax_number": "317-888-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDINE",
        "first_name": "VICKI",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038302A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.