NPIMap

Individual provider Active NPI

Burke Morin, D.O.

  • Diagnostic Radiology Physician
  • Casper, WY
National Provider Identifier
1144519745
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11800A Issued in WY
Practice address
419 S Washington St Ste 101
Casper, WY 82601-2951
Phone
(307) 265-1620
NPI assigned
Apr 4, 2011
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X COPS130 NE
Diagnostic Radiology Physician 2085R0202X CDR.0003611 CO
Diagnostic Radiology Physician 2085R0202X 11800A WY Primary

Addresses

Primary practice location

419 S Washington St Ste 101
Casper, WY 82601-2951

Mailing address

419 S Washington St Ste 101
Casper, WY 82601-2951
Phone (307) 265-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181211002583 WY Practitioner - Diagnostic Radiology 6608161369 Reassigns benefits to 3 organizations
I20240601000524 NE Practitioner - Diagnostic Radiology 6608161369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Chicago College of Osteopathy, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casper Medical Imaging PCGroup PAC ID 8224010871, 25 clinicians
Outpatient Radiology LLCGroup PAC ID 8628051596, 13 clinicians

Practice addresses (Care Compare)

1233 E 2ND St
Casper, WY 82601-2926
Phone (307) 265-1620

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (307) 265-1620

820 W 42ND St
Suite 1500
Scottsbluff, NE 69361-5017
Phone (307) 265-1620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDR.0003611COMDDiagnostic Radiology Physician
11800AWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Radiology LLC Diagnostic Radiology CurrentSince Oct 26, 2018 Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations

820 W 42nd St
Ste 150
Scottsbluff, NE 69361

820 W 42nd St
Ste 1500
Scottsbluff, NE 69361

1207 E 2nd St
Casper, WY 82601

419 S Washington St
Ste 101
Casper, WY 82601
Phone (307) 232-5037

6600 E 2nd St
Ste E
Casper, WY 82609
Phone (307) 232-5012

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 7

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 8

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1144519745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-265-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S WASHINGTON ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012951",
            "telephone_number": "307-265-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "BURKE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "COPS130",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDR.0003611",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "11800A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.