Active NPI
Clay M Burnett, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- North Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2023026441
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cburnett@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Villages Regional Hospital Physician Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | 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 | Past | 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
- cburnett4@direct.iuhealth.org
- 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.
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Cardiovascular Disease Physician
- North Kansas City, MO
- NPI 1609855899
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.