Individual provider Active NPI

Matthew Burky, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Chico, CA
National Provider Identifier
1104353879
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20A22990 Issued in CA
Practice address
183 E 8TH Ave
Chico, CA 95926-2341
Phone
(530) 891-6244
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20A22990 CA Primary

Addresses

Primary practice location

183 E 8TH Ave
Chico, CA 95926-2341

Mailing address

183 E 8TH Ave
Chico, CA 95926-2341
Phone (530) 891-6244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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
I20220802001885 OR Practitioner - Pathology 4385916477 Reassigns benefits to 1 organization
I20240718001180 CA Practitioner - Pathology 4385916477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Sciences Medical GroupGroup PAC ID 5193750164, 10 clinicians

Practice addresses (Care Compare)

183 E 8TH Ave
Chico, CA 95926-2341
Phone (530) 891-6244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28725MNMDFamily Medicine Physician
20A22990CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Pathology Sciences Medical Group Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2024 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

183 E 8th Ave
Chico, CA 95926
Phone (530) 891-6244

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1104353879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262341",
            "telephone_number": "530-891-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262341",
            "telephone_number": "530-891-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKY",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "20A22990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.