Individual provider Active NPI

Michael A Burke, MD

  • Radiation Oncology Physician
  • Stuart, FL
National Provider Identifier
1346229168
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME122067 Issued in FL
Practice address
501 SE Osceola St
Suite 100
Stuart, FL 34994-2301
Phone
(772) 288-5890
Fax
(772) 288-5840
NPI assigned
Jan 11, 2006
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME122067 FL Primary

Addresses

Primary practice location

501 SE Osceola St
Suite 100
Stuart, FL 34994-2301

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832

Other identifiers 1

IdentifierTypeStateIssuer
259307600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mburke38964@direct.martinhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150407001041 FL Practitioner - Radiation Oncology 7012812506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Georgetown University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1095 NW Saint Lucie W Blvd
Port Saint Lucie, FL 34986-1719
Phone (772) 785-5595

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
60.2
Promoting interoperability
99
Improvement activities
40
Cost
75.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122067FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Feb 2, 2015 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Feb 2, 2015 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Vascular Diagnostic Center PC Past Accepting new patients
Martin Memorial Physician Corporation Inc Past Accepting new patients
Northeast Radiation Oncology Center Radiation Oncology Past Accepting new patients

Locations

1095 NW Saint Lucie West Blvd
Ste 200
Port St Lucie, FL 34986
Phone (772) 785-5588

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

501 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (772) 223-5955

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mburke2501013@direct.ccf.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1346229168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE OSCEOLA ST",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942301",
            "telephone_number": "772-288-5890",
            "fax_number": "772-288-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME122067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259307600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mburke38964@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "501 SE Osceola St",
            "address_2": "Suite 100",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.