ANDRE JOSEPH BURNHAM MD
NPI 1053064113
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since January 30, 2022PECOS Enrolled
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110(314) 368-7581 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2024, Jan 30, 2022 (2 updates tracked since 2022).

About Andre Joseph Burnham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE JOSEPH BURNHAM MD (NPI 1053064113) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053064113
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE JOSEPH BURNHAMCredential: MD
Location Address1 BARNES JEW HOSP PLZSaint Louis, MO 63110-1003
Mailing Address660 S Euclid AveSaint Louis, MO 63110-1010
Sole ProprietorNo
Enumeration DateJanuary 30, 2022
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1053064113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 BARNES JEW HOSP PLZ, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andre Joseph Burnham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Emergency Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Emergency Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Internal Medicine
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Internal Medicine (Cardiovascular Disease)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Psychiatry)
1 BARNES JEW HOSP PLZ
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Burnham's NPI number?

The NPI number for Andre Burnham is 1053064113. It was assigned to this individual provider in the NPPES registry on January 30, 2022.

Where is Andre Burnham located?

Andre Burnham practices at 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110. The listed phone number is (314) 368-7581.

What is Andre Burnham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andre Burnham enrolled in Medicare?

Yes. Andre Burnham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Burnham was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.