Active NPI
Ronnelle Sheri Burley, MD
- Obstetrics & Gynecology Physician
- Lubbock, TX
National Provider Identifier
1477516219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K0340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141110001 | Medicaid | TX |
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
Enrollment records 1
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
Practice addresses (Care Compare)
3706 22ND PL
Lubbock, TX 79410-1320
Phone (806) 722-1253
Hospital & facility affiliations
- Covenant Childrens Hospital
- Grace Surgical Hospital
- University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronnelle S Burley MD PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Covenant Medical Group | Obstetrics & Gynecology | Past | Accepting new patients |
| Lubbock County Hospital District | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Obstetrics & Gynecology Physician
- Lubbock, TX
- NPI 1982806261
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.