NPIMap

Individual provider Active NPI

Terry J Burk, MD

  • Diagnostic Radiology Physician
  • Maryville, IL
National Provider Identifier
1124062757
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
6800 State Route 162
Anderson Hospital Dept of Radiology
Maryville, IL 62062-1000
Phone
(618) 288-5711
NPI assigned
Jun 15, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IL Primary

Addresses

Primary practice location

6800 State Route 162
Anderson Hospital Dept of Radiology
Maryville, IL 62062-1000

Mailing address

PO Box 790051
Maryville Radiology Group LTD
St Louis, MO 63179-0051
Phone (314) 821-5600

Other identifiers 4

IdentifierTypeStateIssuer
0361022781MedicaidIL
163928OtherGHP
1601347OtherUHC
447052OtherHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040518001438 IL Practitioner - Diagnostic Radiology 3476544644 Reassigns benefits to 2 organizations
I20251028001257 GA Practitioner - Diagnostic Radiology 3476544644 Reassigns benefits to 2 organizations
I20251029002738 FL Practitioner - Diagnostic Radiology 3476544644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians
Maryville Radiology Group LTDGroup PAC ID 6608885256, 5 clinicians

Practice addresses (Care Compare)

1121 Longview CMNS
Greensboro, GA 30642-5347
Phone (469) 757-1042

148 Cypress Walk
Santa Rosa Beach, FL 32459-2350
Phone (618) 567-1109

6800 State Route 162
Maryville, IL 62062-8500
Phone 6182885711402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036102278ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jan 17, 2026 Accepting new patients
Maryville Radiology Group, LTD Diagnostic Radiology CurrentSince Jan 1, 2002 Accepting new patients
Anderson Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Diagnostic Imaging Associates LTD Diagnostic Radiology PastSince Jun 14, 2020 Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Midwest Radiological Associates PC Diagnostic Radiology PastSince Apr 5, 2020 Accepting new patients

Locations

3417 Anderson Healthcare Dr
Ste 101
Edwardsville, IL 62025
Phone (618) 288-8480

2023 Vadalabene Dr
Ste 100
Maryville, IL 62062
Phone (618) 288-4929

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1124062757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790051",
            "address_2": "MARYVILLE RADIOLOGY GROUP LTD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631790051",
            "telephone_number": "314-821-5600",
            "fax_number": "314-821-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 STATE ROUTE 162",
            "address_2": "ANDERSON HOSPITAL DEPT OF RADIOLOGY",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620621000",
            "telephone_number": "618-288-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "TERRY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361022781",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "163928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1601347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "447052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.