Individual provider Active NPI

Jessica Burk, M.D.

  • Diagnostic Radiology Physician
  • Peoria, IL
National Provider Identifier
1386090892
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036.158238 Issued in IL
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

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210909000470 IN Practitioner - Diagnostic Radiology 1456643527 Reassigns benefits to 1 organization
I20220922000184 IL Practitioner - Diagnostic Radiology 1456643527 Reassigns benefits to 1 organization

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
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians

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 Hospital, Saginaw, MI, CCN 230077
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
  • Saint Mary'S Standish Community Hospital Hospital, Standish, MI, CCN 231305
  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.158238ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jul 7, 2025 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 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.

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.