Active NPI
Michelle M Burk, DO
- Internal Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-107561
- Practice address
- 4315 Memorial Dr
Belleville, IL 62226-5342 - Phone
- (618) 257-6220
- NPI assigned
- Sep 5, 2006
- Last updated
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036107561 | Medicaid | IL | |
| 1093817355 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-107561 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Pai Participant 1 LLC | Geriatric Medicine | Current | Accepting new patients |
| Generation Clinical Partners LLC | Geriatric Medicine | Current | Accepting new patients |
| Generation Clinical Partners Aco, LLC | Internal Medicine | Current | Accepting new patients |
| Generation Clinical Partners LLC | Geriatric Medicine | Current | 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
- https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4
- michelle.vandorn.1@9850.direct.athenahealth.com
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Glen Carbon, IL
- NPI 1366050007
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1104235241
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
MO
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Willowbrook, IL
- NPI 1093398539
-
dba GCP ACO Illinois
- Internal Medicine Physician
- Waterloo, IL
- NPI 1104674431
-
- Urgent Care Clinic/Center
- O'Fallon, IL
- NPI 1487601506
Emergency Medicine
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1841246956
-
- Family Medicine Physician
- Dupo, IL
- NPI 1437462637
-
dba Generation Clinical Partners ACO
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1740969120
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Meridian Village Care Center
- Skilled Nursing Facility
- Glen Carbon, IL
- NPI 1932814548
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.