THEODORE BURDEN MD
NPI 1811980030
Internal Medicine in Philadelphia, PA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
2100 W GIRARD AVE, PHILADELPHIA, PA 19130(215) 685-0800(215) 685-0846 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theodore Burden Md NPPES

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

THEODORE BURDEN MD (NPI 1811980030) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD020774E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1977).

NPPES Registry Identity

NPI1811980030
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHEODORE BURDENCredential: MD
Location Address2100 W GIRARD AVEPhiladelphia, PA 19130-1400
Mailing AddressPo Box 820933Philadelphia, PA 19182-0933 · (215) 926-9022 · Fax (215) 226-8286
Fax(215) 685-0846
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1977
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 18, 2011
NPI 1811980030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD020774E
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2100 W GIRARD AVE, Philadelphia, PA 19130

Other Identifiers 9

Other128306PA · Highmark Blue Shield
OtherP00037862PA · Railroad Medicare
Other1019558PA · Keystone Mercy Health
Medicaid000804021PA
Other597586PA · Medicare Group
Medicare PIN128306PA
Other0054331000PA · Independence Blue Cross
OtherCD4829PA · Railroad Medicare Tpi Group
Medicare UPINC31045

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theodore Burden Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143317792
PECOS Enrollment IDI20071030000403
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
240 services62 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
58 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services33 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
37 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19130 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.30 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$14.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
2100 W GIRARD AVE
PHILA, PA 19130
Physician Assistant
2100 W GIRARD AVE
PHILA, PA 19130
Skilled Nursing Facility
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Internal Medicine
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Physical Therapy Assistant
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Occupational Therapy Assistant
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Physical Therapy Assistant
2100 W GIRARD AVE
PHILADELPHIA, PA 19130
Speech-Language Pathologist
2100 W GIRARD AVE
PHILADELPHIA, PA 19130

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 Theodore Burden's NPI number?

The NPI number for Theodore Burden is 1811980030. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Theodore Burden located?

Theodore Burden practices at 2100 W Girard Ave, Philadelphia, PA 19130. The listed phone number is (215) 685-0800.

What is Theodore Burden's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Burden enrolled in Medicare?

Yes. Theodore Burden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Burden accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Theodore Burden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Burden was last updated on July 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.