Individual provider Active NPI

Thomas F Burke Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cambridge, MA
National Provider Identifier
1427047224
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
216760 Issued in MA
Practice address
300 Mount Auburn St
Suite 505
Cambridge, MA 02138-5600
Phone
(617) 491-6766
Fax
(617) 491-2552
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 216760 MA Primary

Addresses

Primary practice location

300 Mount Auburn St
Suite 505
Cambridge, MA 02138-5600

Mailing address

20 Guest St Ste 225
Brighton, MA 02135-2065
Phone (617) 491-6766

Other practice location 1

840 Winter St
Waltham, MA 02451-1433
Phone (781) 487-9444

Other identifiers 1

IdentifierTypeStateIssuer
2017130MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040901000711 MA Practitioner - Orthopedic Surgery 1355316399 Reassigns benefits to 2 organizations
Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Institute of TechnologyGroup PAC ID 5597658666, 55 clinicians
Boston Orthopaedic and Spine LLCGroup PAC ID 3476983909, 20 clinicians

Practice addresses (Care Compare)

25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 258-6896

300 Mount Auburn St
Suite 505
Cambridge, MA 02138-5665
Phone (617) 491-6766

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216760MAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Orthopaedic and Spine LLC Orthopaedic Surgery CurrentSince Mar 8, 2017 Accepting new patients
Pro Sports Orthopedics, Inc Orthopaedic Surgery Current Accepting new patients
Massachusetts Institute of Technology CurrentSince Jul 1, 2004 Accepting new patients

Locations

20 Guest St
Ste 225
Brighton, MA 02135
Phone (617) 586-1900

300 Mount Auburn St
Ste 505
Cambridge, MA 02138
Phone (617) 491-6766

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

840 Winter St
Ste 3
Waltham, MA 02451
Phone (781) 209-5645

840 Winter St
Waltham, MA 02451
Phone (781) 487-9944

Interoperability endpoints

  • Direct secure messaging: thomas.burke.1@14781.direct.athenahealth.com
  • Direct secure messaging: tburke254401@direct.bilh.masshiway.net

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 5

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1427047224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GUEST ST STE 225",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352065",
            "telephone_number": "617-491-6766",
            "fax_number": "617-491-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "SUITE 505",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-491-6766",
            "fax_number": "617-491-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Winter St",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511433",
            "country_code": "US",
            "telephone_number": "781-487-9444",
            "fax_number": "781-487-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MA",
            "license": "216760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017130",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.