Active NPI
Adam Wesley Burke, DPM
- Podiatrist
- West Pittston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 12047256-0501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC006875 | Other | PA | MEDICAL 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
Enrollment records 1
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
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 100
- Quality
- 67.73
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 37 |
| Removal of nail tissue | 769 |
| Removal or shaving of skin growth | 134 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12047256-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W. Martin, DPM, PC | Podiatrist | Current | Accepting new patients |
| Ryan K Anderson D P M P C | Podiatrist | Current | 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
- allevioutah.adamburke@161802.advancedmd-direct.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
-
- Podiatrist
- Logan, UT
- NPI 1619175031
-
- Podiatrist
- Salt Lake City, UT
- NPI 1720795586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.