NPIMap

Individual provider Active NPI

Shelley Annetteq Burke, M.D.

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1013915321
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35079927 Issued in OH
Practice address
Lorain Community Hospital
3700 Kolbe Road
Lorain, OH 44053
Phone
(440) 960-4000
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.079927 OH
Internal Medicine Physician 207R00000X 35079927 OH Primary

Addresses

Primary practice location

Lorain Community Hospital
3700 Kolbe Road
Lorain, OH 44053

Mailing address

Community Hospitalists, LLC
PO Box 39413
Cleveland, OH 44139
Phone (440) 523-5023

Other identifiers 1

IdentifierTypeStateIssuer
2301137MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000590 OH Practitioner - Internal Medicine 0042485799 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Ohio, LLCGroup PAC ID 1759620735, 40 clinicians
Southwest General Medical Group IncGroup PAC ID 8527964550, 232 clinicians

Practice addresses (Care Compare)

18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8000

7255 Old Oak Blvd
Cleveland, OH 44130-3300

Hospital & facility affiliations

  • Bella Care Hospice Hospice, Westerville, OH, CCN 361646
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Altenheim Nursing home, Strongsville, OH, CCN 365109
  • Riverview Pointe Care Center Nursing home, Olmsted Falls, OH, CCN 366180
  • O'Neill Healthcare Middleburg Heights Nursing home, Middleburg Heights, OH, CCN 365702

Merit-based Incentive Payment System (MIPS)

Final score
77.56 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
70.76

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
63.56
Promoting interoperability
100
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35079927OHMDInternal Medicine Physician
35.079927OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Ohio, LLC Internal Medicine CurrentSince Jan 9, 2019 Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince May 18, 2013 Accepting new patients
Southwest General Medical Group Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Southwest General Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
Community Hospitalist, LLC Internal Medicine Past Accepting new patients
Southwest General Health Center Past Accepting new patients
Olmsted Health Care Center, Inc. Past Accepting new patients
West Side Deutscher Frauen Verein Past Accepting new patients

Locations

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6990 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 202-4200

30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844

4200 Interchange Corporate Center Rd
Warrensville Heights, OH 44128
Phone (216) 292-5750

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Interoperability endpoints

  • Direct secure messaging: sburke@direct.swgeneral.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverview Pointe Care CenterOlmsted Falls, OH, CCN 366180 Skilled nursing facility Adp of the SNF Jun 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1013915321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMMUNITY HOSPITALISTS, LLC",
            "address_2": "PO BOX 39413",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "440-523-5023",
            "fax_number": "440-523-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LORAIN COMMUNITY HOSPITAL",
            "address_2": "3700 KOLBE ROAD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-960-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SHELLEY",
        "middle_name": "ANNETTEQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.079927",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2301137",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.