Individual provider Active NPI

Umber Burhan, MD

  • Nephrology Physician
  • Wynnewood, PA
National Provider Identifier
1932339124
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD432881 Issued in PA
Practice address
100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453
Phone
(610) 649-1175
Fax
(610) 896-8753
NPI assigned
Jul 22, 2009
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD432881 PA Primary

Addresses

Primary practice location

100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453

Mailing address

100 E Lancaster Ave Ste 130
Wynnewood, PA 19096-3453
Phone (610) 649-1175

Other identifiers 1

IdentifierTypeStateIssuer
0211508MedicaidNJ

Other names 1

  • Umbder Hassan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address uburhan11925@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120917000600 PA Practitioner - Nephrology 1052457595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians

Practice addresses (Care Compare)

100 E Lancaster Ave
Suite 164E
Wynnewood, PA 19096-3427
Phone (610) 649-1175

609 W Germantown Pike
Suite 210
East Norriton, PA 19403-4251
Phone (610) 649-1175

824 Main St
Suite 203
Phoenixville, PA 19460-4478
Phone (610) 649-1175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432881PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC Nephrology CurrentSince Apr 29, 2019 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

100 E Lancaster Ave
Ste 130
Wynnewood, PA 19096
Phone (610) 649-8089

100 E Lancaster Ave
Ste 164E
Wynnewood, PA 19096

Interoperability endpoints

  • Direct secure messaging: uburhan11925@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1932339124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 130",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963453",
            "telephone_number": "610-649-1175",
            "fax_number": "610-896-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 130",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963453",
            "telephone_number": "610-649-1175",
            "fax_number": "610-896-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURHAN",
        "first_name": "UMBER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD432881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211508",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uburhan11925@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "100 E Lancaster Ave Ste 130",
            "city": "Wynnewood",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190963453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "UMBDER",
            "last_name": "HASSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.