Active NPI
Andrew J Burger, M.D.
- Cardiovascular Disease Physician
- Cincinnati, OH
National Provider Identifier
1780773358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35-089301
- Practice address
- 222 Piedmont Ave
6000
Cincinnati, OH 45219-4231 - Phone
- (513) 245-3444
- NPI assigned
- Oct 12, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-089301 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 72878 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 35-089301 | OH | Primary |
Addresses
Primary practice location
222 Piedmont Ave
6000
Cincinnati, OH 45219-4231
Mailing address
PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 245-3104
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0524463 | Medicaid | OH | |
| 200856720 | Medicaid | IN | |
| 4047826 | Medicaid | TN |
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 |
|---|---|---|---|
| 35-089301 | OH | MD | Internal Medicine Physician |
| 72878 | MA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1780773358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"address_2": "CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-245-3104",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PIEDMONT AVE",
"address_2": "6000",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452194231",
"telephone_number": "513-245-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGER",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-089301",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "72878",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35-089301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0524463",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200856720",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4047826",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.