Individual provider Active NPI

Jennifer Lynn Sweat-Burdette, M.D.

  • Pediatrics Physician
  • Miamisburg, OH
National Provider Identifier
1831486083
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35123606 Issued in OH
Practice address
3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956
Phone
(937) 885-4475
Fax
(937) 885-3670
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35123606 OH Primary

Addresses

Primary practice location

3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956

Mailing address

3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956
Phone (937) 885-4475

Other practice location 1

3333 W Tech Rd Ste 220
Miamisburg, OH 45342-0956
Phone (937) 885-4475

Other identifiers 1

IdentifierTypeStateIssuer
0105307MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241119002088 OH Practitioner - Pediatric Medicine 2668907338 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35123606OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. Pediatrics CurrentSince Jan 14, 2024 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. Pediatrics CurrentSince Jan 1, 2024 Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

1010 Valley St
Dayton, OH 45404
Phone (937) 641-3023

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

3333 W Tech Rd
Ste 120
Miamisburg, OH 45342
Phone (937) 748-6116

3333 W Tech Rd
Ste 220
Miamisburg, OH 45342
Phone (937) 748-6116

76 Remick Blvd
Springboro, OH 45066
Phone (937) 641-4040

Interoperability endpoints

  • Direct secure messaging: jennifer.sweat.1@19649.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1831486083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W TECH RD STE 220",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420956",
            "telephone_number": "937-885-4475",
            "fax_number": "937-885-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W TECH RD STE 220",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420956",
            "telephone_number": "937-885-4475",
            "fax_number": "937-885-3670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W Tech Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420956",
            "country_code": "US",
            "telephone_number": "937-885-4475",
            "fax_number": "937-885-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEAT-BURDETTE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35123606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.