Individual provider Active NPI

Olivia Claire Burke, M.D

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rochester, MN
National Provider Identifier
1023504008
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
69329 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-2315
Phone
(507) 284-2511
NPI assigned
Jul 2, 2018
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.073235 IL
Internal Medicine Physician 207R00000X 69329 MN
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 69329 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-2315

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (504) 284-2511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830000419 OH Practitioner - Internal Medicine 4587065750 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.073235ILMDInternal Medicine Physician
69329MNMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of Dayton, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Pure Healthcare LLC Hospice and Palliative Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lifecare Hospice Past Accepting new patients

Locations

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490

1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1023504008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "504-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559052315",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "OLIVIA",
        "middle_name": "CLAIRE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.073235",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "69329",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "69329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.