Organization Active NPI

Douglas K. Burke, MD PA

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1457384885
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DOUGLAS K. BURKE, MD PA
Practice address
2000 Crawford St
Suite 1405
Houston, TX 77002-9000
Phone
(713) 654-7785
Fax
(713) 654-7795
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Douglas Koshin Burke, M.D.
Title
President
Phone
(713) 654-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2000 Crawford St
Suite 1405
Houston, TX 77002-9000

Mailing address

2000 Crawford St
Suite 1405
Houston, TX 77002-9000
Phone (713) 654-7785

Other identifiers 2

IdentifierTypeStateIssuer
0068MQOtherTXBLUE CROSS BLUE SHIELD
172737202MedicaidTX

National Provider Directory

National Provider Directory

Locations

2000 Crawford St
Ste 1405
Houston, TX 77002
Phone (713) 654-7785

405 This Way St
Ste 3
Lake Jackson, TX 77566
Phone (979) 299-1936

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1457384885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "SUITE 1405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029000",
            "telephone_number": "713-654-7785",
            "fax_number": "713-654-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CRAWFORD ST",
            "address_2": "SUITE 1405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029000",
            "telephone_number": "713-654-7785",
            "fax_number": "713-654-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS K. BURKE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "KOSHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-654-7785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0068MQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172737202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.