Individual provider Active NPI

Richard G Burke, MD

  • Anesthesiology Physician
  • Traverse City, MI
National Provider Identifier
1427039072
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301056303 Issued in MI
Practice address
4290 Copper Ridge Dr Ste 100a
Traverse City, MI 49684-7207
Phone
(231) 642-2202
Fax
(231) 346-6029
NPI assigned
Nov 10, 2005
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301056303 MI Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 4310156303 MI

Addresses

Primary practice location

4290 Copper Ridge Dr Ste 100a
Traverse City, MI 49684-7207

Mailing address

4290 Copper Ridge Dr Ste 100a
Traverse City, MI 49684-7207
Phone (231) 642-2202

Other identifiers 1

IdentifierTypeStateIssuer
1427039072MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100830000380 MI Practitioner - Anesthesiology 3678568185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2333 Progress St
West Branch, MI 48661-9384
Phone (989) 343-3178

4290 Copper Ridge Dr
Suite 100
Traverse City, MI 49684-7208
Phone (231) 642-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.31 of 100Reported as group
Quality
42.97
Improvement activities
0
Cost
72.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4310156303MIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jagannathan Neurosurgical Institute PLLC CurrentSince Nov 18, 2022 Accepting new patients
Novello Imaging PLC CurrentSince Aug 11, 2023 Accepting new patients
Jagannathan Neurosurgical Institute PLLC CurrentSince Nov 18, 2022 Accepting new patients
Dr Richard Burke Pain and Neuromodulation PLLC Pain Medicine CurrentSince Aug 11, 2023 Accepting new patients
Pain Management Group PLLC Pain Medicine CurrentSince Apr 1, 2023 Accepting new patients
DBMJ Rehabilitation Services PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

4 Columbus Ave
Ste 260
Bay City, MI 48708
Phone (989) 308-1840

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

3988 W Royal Dr
Traverse City, MI 49684
Phone (231) 421-1599

4290 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 421-8505

3290 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 792-6527

2333 Progress St
West Branch, MI 48661
Phone (989) 343-3178

Interoperability endpoints

  • Direct secure messaging: richard.burke.1@29714.direct.athenahealth.com

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 6

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1427039072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 COPPER RIDGE DR STE 100A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847207",
            "telephone_number": "231-642-2202",
            "fax_number": "231-346-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 COPPER RIDGE DR STE 100A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847207",
            "telephone_number": "231-642-2202",
            "fax_number": "231-346-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "RICHARD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301056303",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4310156303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427039072",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.