Active NPI
Jessica Burk, M.D.
- Diagnostic Radiology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036.158238
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-0001 - Phone
- (309) 655-2000
- NPI assigned
- May 13, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036.158238 | IL | Primary |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
Other practice location 1
545 Barnhill Dr
Emerson Hall 203
Indianapolis, IN 46202
Phone (317) 274-5771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Chicago, IL 60657
Phone (713) 461-3573
Dunlap, IL 61525
Phone (713) 461-3573
Hospital & facility affiliations
- Mymichigan Medical Center Saginaw
- Tawas St Joseph Hospital
- Saint Mary'S Standish Community Hospital
- McKenzie Health System
- Covenant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.158238 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Rm 641
Indianapolis, IN 46202
Phone (317) 948-2444
3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888
9900 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1500
1600 Brady St
Chesaning, MI 48616
Phone (989) 497-9395
710 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 362-7546
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1147
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
110 Beech St
Ste B
Tawas City, MI 48763
Phone (989) 362-1015
1212 W Saginaw Rd
Vassar, MI 48768
Phone (989) 823-5020
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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
- Critical Access Hospital
- Standish, MI
- NPI 1659465094
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1386090892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAKWOOD RD",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616111853",
"telephone_number": "309-740-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616370001",
"telephone_number": "309-655-2000"
}
],
"practiceLocations": [
{
"address_1": "545 Barnhill Dr",
"address_2": "Emerson Hall 203",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "46202",
"country_code": "US",
"telephone_number": "317-274-5771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURK",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-13",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.158238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.