Individual provider Active NPI

Adam Wesley Burke, DPM

  • Podiatrist
  • West Pittston, PA
National Provider Identifier
1225550049
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
12047256-0501 Issued in UT
Practice address
810 Wyoming Ave
West Pittston, PA 18643-2741
Phone
(570) 654-4371
Fax
(570) 654-0455
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 12047256-0501 UT Primary

Addresses

Primary practice location

810 Wyoming Ave
West Pittston, PA 18643-2741

Mailing address

550 E 1400 N
Ste N
Logan, UT 84341-2450
Phone (570) 654-4371

Other identifiers 1

IdentifierTypeStateIssuer
SC006875OtherPAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421002743 UT Practitioner - Podiatry 5597036483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

596 W 750
Suite 200
Bountiful, UT 84010-7281
Phone (801) 292-4425

Merit-based Incentive Payment System (MIPS)

Final score
88.13 of 100Reported as individual
Quality
67.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of nail tissue769
Removal or shaving of skin growth134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12047256-0501UTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
William W. Martin, DPM, PC Podiatrist CurrentSince Apr 13, 2021 Accepting new patients
Ryan K Anderson D P M P C Podiatrist CurrentSince Mar 1, 2025 Accepting new patients
Utah Podiatric Physicians and Surgeons Group LLC Podiatrist Past Accepting new patients

Locations

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

380 S Main St
Centerville, UT 84014
Phone (530) 869-1444

11762 S State St
Ste 340
Draper, UT 84020
Phone (801) 562-9294

550 E 1400 N
Ste N
Logan, UT 84341
Phone (435) 752-1038

272 N Main St
Logan, UT 84321
Phone (435) 281-3030

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

475 40th St
Ste 111
South Ogden, UT 84403
Phone (385) 402-4097

15 N 100 E
Tooele, UT 84074
Phone (435) 882-2365

596 W 750 S
Ste 300
Woods Cross, UT 84010
Phone (801) 673-7661

Interoperability endpoints

  • Direct secure messaging: allevioutah.adamburke@161802.advancedmd-direct.com
  • Direct secure messaging: fascmananger@faasc-ut.direct.office.nextgen.com

Organizations & group practices 3

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225550049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "STE N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412450",
            "telephone_number": "570-654-4371",
            "fax_number": "570-654-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WYOMING AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432741",
            "telephone_number": "570-654-4371",
            "fax_number": "570-654-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "ADAM",
        "middle_name": "WESLEY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "12047256-0501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "SC006875",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Pittston, PA

Sources for this page

Verify at the official NPI Registry.