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ALISA BURNHAM MD
NPI 1134164643
Pediatrics - Neonatal-Perinatal Medicine in Philadelphia, PA

Active since June 18, 2006PECOS Enrolled
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY, PHILADELPHIA, PA 19104(215) 590-1944(215) 590-4454 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alisa Burnham Md NPPES

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

ALISA BURNHAM MD (NPI 1134164643) is an individual neonatal-perinatal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD068633L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134164643
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameALISA BURNHAMCredential: MD
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGYPhiladelphia, PA 19104-4319
Mailing Address100 E Penn Sq, 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9234 · Fax (267) 425-9299
Phone(215) 590-1944
Fax(215) 590-4454
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateMay 15, 2013
✔ NPI 1134164643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in PA · MD068633L
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License MD068633L (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Identifiers 4

Medicaid0084620NJ
Medicaid101449252PA
Medicare PIN096294PA
Medicare UPINI46260

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa 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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Alisa Burnham's NPI number?

The NPI number for Alisa Burnham is 1134164643. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Alisa Burnham located?

Alisa Burnham practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Neonatology, Philadelphia, PA 19104. The listed phone number is (215) 590-1944.

What is Alisa Burnham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Alisa Burnham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alisa Burnham was last updated on May 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.