Active NPI
Taylor Robert Burnham, D.O
- Physical Medicine & Rehabilitation Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 10579226-1204
- Practice address
- 30 N 1900 E
Salt Lake City, UT 84132-2409 - Phone
- (801) 585-2589
- NPI assigned
- May 13, 2016
- Last updated
- Dec 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 10579226-1204 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E
Salt Lake City, UT 84132-2409
Mailing address
30 N 1900 E
Salt Lake City, UT 84132-2409
Other practice location 1
1356 Lusitana St Fl 7
Honolulu, HI 96813-2409
Phone (808) 586-7479
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tburnham243994@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 93.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 45.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Specialty Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients | |
| University of Utah Specialty Services | Current | Accepting new patients |
Locations
250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- tburnham243994@direct.med.utah.edu
Organizations & group practices 3
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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1043614811
-
dba U of U Urogynecology
- Obstetrics & Gynecology Physician
- Salt Lake City, UT
- NPI 1053715110
-
dba Maternal Fetal Medicine- Elko
- Maternal & Fetal Medicine Physician
- Elko, NV
- NPI 1316324973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1841647377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841322409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841322409",
"telephone_number": "801-585-2589"
}
],
"practiceLocations": [
{
"address_1": "1356 Lusitana St Fl 7",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968132409",
"country_code": "US",
"telephone_number": "808-586-7479",
"fax_number": "808-586-7486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNHAM",
"first_name": "TAYLOR",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "10579226-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tburnham243994@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.