KELLY D. BURCHETT DO – NPI #1629161864
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Health Care Provider Taxonomy Code for Otolaryngology

KELLY BURCHETT is an otolaryngologist located in KIRKSVILLE, MO. NPPES has assigned the NPI number 1629161864 to KELLY BURCHETT on October 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 6 years ago on Sep 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY BURCHETT below.

NPI Profile for
KELLY D. BURCHETT

NPI Number
1629161864
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KELLY D. BURCHETT
Credentials
DO
Primary location
1605 SOUTH BALTOMORE
SUITE B
KIRKSVILLE, MO 63501
Phone: (660) 665-3599 Fax: (660) 665-3570
Mailing address
1605 SOUTH BALTIMORE
SUITE B
KIRKSVILLE, MO 63501
Phone: (660) 665-3599 Fax: (660) 665-3570
Sole Proprietor
Yes
Updated
Certification Date
Sep 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KELLY BURCHETT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO207392200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)		 MO 2001010344

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
AMR DIRECT ADDRESS
Content Type
Affiliation
N
Endpoint Location
1605 SOUTH BALTOMORE,
KIRKSVILLE, MO 77025-1669

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY BURCHETT is affiliated with the following medical group(s):
  • HOSPITAL
    • MACON COUNTY SAMARITAN MEMORIAL HOSPITAL
      1205 NORTH MISSOURI ST
      MACON, MO 63552
    • MERCYONE CENTERVILLE MEDICAL CENTER
      ONE ST JOSEPH'S DRIVE
      CENTERVILLE, IA 52544
    • NORTHEAST REGIONAL MEDICAL CENTER
      315 S OSTEOPATHY
      KIRKSVILLE, MO 63501

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.