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MARK D BURNINGHAM MD
NPI 1720025133
Emergency Medicine in Boise, ID

Active since June 02, 2006PECOS Enrolled
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark D Burningham Md NPPES

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

MARK D BURNINGHAM MD (NPI 1720025133) is an individual emergency medicine provider in Boise, Idaho, licensed in Idaho (M6565) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1720025133
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK D BURNINGHAMCredential: MD
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(208) 381-2222
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1720025133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M6565
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
190 E BANNOCK ST, Boise, ID 83712
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Secondary Practice Location 1

Location 1500 W. Fort St., # 111Boise, ID 83702 · Phone (208) 422-1000 · Fax (208) 422-1319

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D Burningham 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Mark Burningham's NPI number?

The NPI number for Mark Burningham is 1720025133. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Mark Burningham located?

Mark Burningham practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is Mark Burningham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Burningham enrolled in Medicare?

Yes. Mark Burningham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Burningham was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.