Active NPI
Robert Burke, M.D.
- Specialist
- Loveland, CO
National Provider Identifier
1033283098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19565
- Practice address
- 2695 Rocky Mountain Ave
Suite 200
Loveland, CO 80538-8702 - Phone
- (970) 493-7442
- Fax
- (970) 493-7442
- NPI assigned
- Nov 20, 2006
- Last updated
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19565 | CO | Primary |
Addresses
Primary practice location
2695 Rocky Mountain Ave
Suite 200
Loveland, CO 80538-8702
Mailing address
1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3955
Phone (970) 493-7442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033283098 | Other | CO | NPI BURKE |
| 01195650 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1033283098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 S LEMAY AVE",
"address_2": "SUITE 300",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243955",
"telephone_number": "970-493-7442",
"fax_number": "970-493-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE",
"address_2": "SUITE 200",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388702",
"telephone_number": "970-493-7442",
"fax_number": "970-493-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "19565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI BURKE",
"identifier": "1033283098",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01195650",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.