Individual provider Active NPI

Michelle M Burk, DO

  • Internal Medicine Physician
  • Belleville, IL
National Provider Identifier
1093817355
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-107561 Issued in IL
Practice address
4315 Memorial Dr
Belleville, IL 62226-5342
Phone
(618) 257-6220
NPI assigned
Sep 5, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-107561 IL
Internal Medicine Physician 207R00000X 036-107561 IL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036107561 IL

Addresses

Primary practice location

4315 Memorial Dr
Belleville, IL 62226-5342

Mailing address

4315 Memorial Dr
Belleville, IL 62226-5342
Phone (618) 257-6220

Other identifiers 2

IdentifierTypeStateIssuer
036107561MedicaidIL
1093817355MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040903000319 IL Practitioner - Internal Medicine 5597731273 Reassigns benefits to 3 organizations
I20200728002860 MO Practitioner - Internal Medicine 5597731273 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generation Clinical Partners LLCGroup PAC ID 1557687803, shared by 2 NPIs, 24 clinicians

Practice addresses (Care Compare)

623 Hamacher St
Waterloo, IL 62298-1786
Phone (314) 925-0903

723 S Laclede Station Rd
Saint Louis, MO 63119-4911
Phone (314) 925-0903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-107561ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Pai Participant 1 LLC Geriatric Medicine CurrentSince Oct 17, 2022 Accepting new patients
Generation Clinical Partners LLC Geriatric Medicine CurrentSince Jul 24, 2020 Accepting new patients
Generation Clinical Partners Aco, LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Generation Clinical Partners LLC Geriatric Medicine CurrentSince Jul 1, 2020 Accepting new patients
PC Associates, LLC Past Accepting new patients
Midwest Emergency Management, Inc. Emergency Medicine Past Accepting new patients
Generation Clinical Partners Aco, LLC Internal Medicine Past Accepting new patients
Midwest Emergency Services Inc Emergency Medicine Past Accepting new patients
Alton Multispecialists, LTD. Internal Medicine Past Accepting new patients

Locations

4315 Memorial Dr
Belleville, IL 62226
Phone (618) 257-5060

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

1 Meramec Bluffs Dr
Ballwin, MO 63021
Phone (636) 861-0600

2201 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 736-8800

515 Picnic St
New Florence, MO 63363
Phone (573) 415-9333

505 Couch Ave
Saint Louis, MO 63122
Phone (314) 822-9911

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

723 S Laclede Station Rd
Webster Groves, MO 63119
Phone (314) 381-1800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.vandorn.1@9850.direct.athenahealth.com
  • Direct secure messaging: ms_mvandorn@landmarkhealth-direct.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1093817355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265342",
            "telephone_number": "618-257-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265342",
            "telephone_number": "618-257-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-107561",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-107561",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036107561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107561",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093817355",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.