Individual provider Active NPI

Charles T Burke, M.D.

  • Vascular & Interventional Radiology Physician
  • Little Rock, AR
National Provider Identifier
1194779991
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
E-4357 Issued in AR
Practice address
9601 Lile Drive,
Suite 1100
Little Rock, AR 72205-6333
Phone
(501) 227-5256
Fax
(501) 227-9151
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X E-4357 AR Primary

Addresses

Primary practice location

9601 Lile Drive,
Suite 1100
Little Rock, AR 72205-6333

Mailing address

9601 Lile Drive,
Suite 1100
Little Rock, AR 72205-6333
Phone (501) 227-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051107001168 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0345281887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514-4220

1350 Raleigh Rd
Chapel Hill, NC 27517-4412
Phone (984) 974-6800

2214 Nelson Hwy
Chapel Hill, NC 27517-8923
Phone (919) 908-6080

430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4357ARMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2002 Accepting new patients
Radiology Consultants of Little Rock, PA Past Accepting new patients

Locations

2214 Nelson Hwy
Chapel Hill, NC 27517
Phone (919) 908-6080

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

75 Freedom Pkwy
Ste F
Pittsboro, NC 27312
Phone (984) 215-3252

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

Interoperability endpoints

  • Direct secure messaging: cburke31152@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1194779991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 LILE DRIVE,",
            "address_2": "SUITE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-227-5256",
            "fax_number": "501-227-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 LILE DRIVE,",
            "address_2": "SUITE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-227-5256",
            "fax_number": "501-227-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AR",
            "license": "E-4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.