DOUGLAS M BURTT (M.D.) – Interventional Cardiology Physician, NPI 1962449900

DOUGLAS M BURTT (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. 54366 (MA). The NPI Number for DOUGLAS M BURTT (M.D.) is 1962449900

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS M BURTT (M.D.)
NPI
1962449900
Phone
(401) 793-7191
Address
208 COLLYER ST
Enumeration Date
31 May 2006
Last Update Date
16 November 2012

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4017254888
Graduation Year
1980 (46 years ago)
PAC ID
9133116080
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20040430000657
Address ID
RI029041560PR208XXSTXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

189 CARDIOVASCULAR DISEASE (CARDIOLOGY) in RI

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Provider Addresses for DOUGLAS M BURTT (M.D.)

  • 208, Collyer Street, Providence, Providence County, Rhode Island, 02904, United States

    PROVIDENCE, RI 029041560

    Phone: (401) 793-7191

    Fax: (401) 793-7200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040430000657ICardiovascular Disease (Cardiology)RITBD
I20050211000802ICardiovascular Disease (Cardiology)MATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,9471,394$0
99213Established patient office or other outpatient visit, 20-29 minutes470343$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report448254$0
99214Established patient office or other outpatient visit, 30-39 minutes141106$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7637$0
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Insurance plans in this area (ZIP 02904)

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Provider's Procedures

DOUGLAS M BURTT (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)RI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report212169
CARDIOVASCULAR DISEASE (CARDIOLOGY)RI93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart4242

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567455082View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DOUGLAS M BURTT (M.D.)?
DOUGLAS M BURTT (M.D.) — NPI 1962449900 — is the standard way to identify this listing.
Can I rely on DOUGLAS M BURTT (M.D.) being an active provider?
As of the registry snapshot, DOUGLAS M BURTT (M.D.) is marked active.
What taxonomy line describes DOUGLAS M BURTT (M.D.)?
For research purposes, treat DOUGLAS M BURTT (M.D.) as Interventional Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS M BURTT (M.D.) based?
DOUGLAS M BURTT (M.D.) is tied to Providence, Rhode Island in the data we show; additional addresses may exist on the full record.
Why does DOUGLAS M BURTT (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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