NPIMap

Individual provider Active NPI

Reed Karl Burk, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tahlequah, OK
National Provider Identifier
1023013760
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
201 Issued in OK
Practice address
1105 E Allen Rd
Tahlequah, OK 74464-2119
Phone
(918) 931-1471
Fax
(918) 458-9977
NPI assigned
Jun 18, 2005
Last updated
Oct 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 201 OK Primary
Foot & Ankle Surgery Podiatrist 213ES0103X P-155 ID
Foot & Ankle Surgery Podiatrist 213ES0103X N005469 NY

Addresses

Primary practice location

1105 E Allen Rd
Tahlequah, OK 74464-2119

Mailing address

1105 E Allen Rd
Tahlequah, OK 74464-2119
Phone (918) 931-1471

Other identifiers 3

IdentifierTypeStateIssuer
100847240AMedicaidOK
100849930BMedicaidOK
100780690BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141223001452 TX Practitioner - Podiatry 6901854579 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ton Santa Rosa Health CenterGroup PAC ID 0749223485, 8 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians
Ton San Simon Health CenterGroup PAC ID 8123194354, 7 clinicians

Practice addresses (Care Compare)

Federal Route 15 Mile Post 12
Sells, AZ 85634-8700
Phone (520) 383-5570

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hwy 86 and Topawa Rd
Sells, AZ 85634

Hwy 86 Milepost 84
Sells, AZ 85634
Phone (520) 362-7007

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue52
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-155IDMDFoot & Ankle Surgery Podiatrist
N005469NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Mar 12, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 18, 2014 Accepting new patients
Ton Sells Hospital CurrentSince Mar 12, 2021 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 12, 2021 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Ton Santa Rosa Health Center CurrentSince Mar 12, 2021 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 18, 2014 Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Limb Salvage International Podiatrist Past Accepting new patients
Kaw Nation Podiatrist Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Limb Salvage International Past Accepting new patients
Limb Salvage International Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

7900 S J Stock Rd
Ste 645T
Tucson, AZ 85746

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1023013760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E ALLEN RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642119",
            "telephone_number": "918-931-1471",
            "fax_number": "918-458-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E ALLEN RD",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642119",
            "telephone_number": "918-931-1471",
            "fax_number": "918-458-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "REED",
        "middle_name": "KARL",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "201",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-155",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005469",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100847240A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100849930B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100780690B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.