Individual provider Active NPI

Clay M Burnett, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • North Kansas City, MO
National Provider Identifier
1790738466
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2023026441 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 520B
North Kansas City, MO 64116-3276
Phone
(816) 691-5198
Fax
(816) 346-7095
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01090546A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME122005 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2023026441 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 520B
North Kansas City, MO 64116-3276

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

Other practice location 1

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

Other practice location 2

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 334-5081

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cburnett@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100504000280 MO Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 3072535566 Reassigns benefits to 3 organizations
I20141120001206 FL Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 3072535566 Reassigns benefits to 4 organizations
I20231011002220 IN Practitioner - Cardiac Surgery 3072535566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

300 Health Park Blvd
Suite 5002
Saint Augustine, FL 32086-3705
Phone (904) 819-5861

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 823-1447

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Sep 11, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Nov 1, 2024 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Nov 17, 2023 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2019 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Nov 17, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 1, 2025 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Oct 10, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 11, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Meritas Health Corporation CurrentSince Nov 1, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 11, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Olathe Health Physicians, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Olathe Health Physicians, Inc. Past Accepting new patients
Carondelet Cardiology Services Past Accepting new patients
Florida Hospital Medical Group Inc PastSince Nov 1, 2014 Accepting new patients

Locations

311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

2790 Clay Edwards Dr
Ste 520B
North Kansas City, MO 64116
Phone (816) 691-5198

2790 Clay Edwards Dr
Ste 520
North Kansas City, MO 64116
Phone (816) 551-6750

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cburnett4@direct.iuhealth.org
  • Direct secure messaging: clay.burnett.1@4692.direct.athenahealth.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1790738466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 520B",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-691-5198",
            "fax_number": "816-346-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 King St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32204",
            "country_code": "US",
            "telephone_number": "904-384-3343",
            "fax_number": "904-400-6671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 E Discovery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-334-5081",
            "fax_number": "812-334-5091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "CLAY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01090546A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME122005",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2023026441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cburnett@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.