Individual provider Active NPI

Ronnelle Sheri Burley, MD

  • Obstetrics & Gynecology Physician
  • Lubbock, TX
National Provider Identifier
1477516219
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K0340 Issued in TX
Practice address
3706 22ND PL
Lubbock, TX 79410-1320
Phone
(806) 722-1253
Fax
(806) 722-0268
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K0340 TX Primary

Addresses

Primary practice location

3706 22ND PL
Lubbock, TX 79410-1320

Mailing address

3706 22ND PL
Lubbock, TX 79410-1320
Phone (806) 722-1253

Other identifiers 1

IdentifierTypeStateIssuer
141110001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20071017000155 TX Practitioner - Obstetrics/Gynecology 3072606185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronnelle S. Burley, M.D., P.a.Group PAC ID 5799878807, 2 clinicians

Practice addresses (Care Compare)

3706 22ND PL
Lubbock, TX 79410-1320
Phone (806) 722-1253

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnelle S Burley MD PA Obstetrics & Gynecology CurrentSince Jun 1, 2007 Accepting new patients
Covenant Medical Group Obstetrics & Gynecology Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ronnelle.burley@direct.myteamcare.com

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 7

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1477516219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-722-1253",
            "fax_number": "806-722-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-722-1253",
            "fax_number": "806-722-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "RONNELLE",
        "middle_name": "SHERI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K0340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141110001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.