Individual provider Active NPI

Jerome M Burke, M.D.

  • Gastroenterology Physician
  • Pittston, PA
National Provider Identifier
1336161736
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD035140E Issued in PA
Practice address
1201 Oak St
Pittston, PA 18640-3798
Phone
(814) 359-7611
Fax
(814) 359-7611
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD035140E PA Primary

Addresses

Primary practice location

1201 Oak St
Pittston, PA 18640-3798

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 808-9800

Other identifiers 1

IdentifierTypeStateIssuer
0011139300002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MT, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100927000386 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 0042114480 Reassigns benefits to 1 organization
I20250731001940 MT Practitioner - Gastroenterology 0042114480 Reassigns benefits to 1 organization
I20251112002203 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 0042114480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York Medical College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Great Falls Clinic LLCGroup PAC ID 8325944499, 73 clinicians

Practice addresses (Care Compare)

1100 Lead Ave SE
Albuquerque, NM 87106-5215
Phone (505) 224-7000

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035140EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Clinic LLC CurrentSince Jul 14, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 28, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 17, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 28, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 17, 2025 Accepting new patients

Locations

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1100 Lead Ave SE
Albuquerque, NM 87106
Phone (505) 224-7000

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1107 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

Interoperability endpoints

  • Direct secure messaging: jerome.burke.1@25095.direct.athenahealth.com
  • Direct secure messaging: jburke278869@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1336161736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-808-9800",
            "fax_number": "814-359-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 OAK ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403798",
            "telephone_number": "814-359-7611",
            "fax_number": "814-359-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JEROME",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD035140E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011139300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.