Active NPI
Mark Joseph Burish, M.D.
- Neurology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- Q6158
- Practice address
- 6400 Fannin St Ste 2010
Houston, TX 77030-1545 - Phone
- (713) 486-7770
- Fax
- (713) 486-8101
- NPI assigned
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 1154645653 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A119507 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | Q6158 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 2010
Houston, TX 77030-1545
Mailing address
6400 Fannin St Ste 2070
Houston, TX 77030-1541
Phone (713) 486-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151028002192 | TX | Practitioner - Neurology | 2163653718 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Vanderbilt University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ut Physicians
Practice addresses (Care Compare)
6400 Fannin St
Suite 2010
Houston, TX 77030-1545
Phone (713) 486-7770
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Sugar Land Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.63 of 100
- Quality
- 68.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1154645653 | CA | MD | Neurology Physician |
| A119507 | CA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients |
Locations
6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100
6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731
11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970
6400 Fannin St
Ste 2010
Houston, TX 77030
Phone (713) 486-7770
Interoperability endpoints
- markj.burish@direct.memorialhermann.org
Organizations & group practices 1
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1154645653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2070",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301541",
"telephone_number": "713-486-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 2010",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301545",
"telephone_number": "713-486-7770",
"fax_number": "713-486-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURISH",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "1154645653",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A119507",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "Q6158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.