Individual provider Active NPI

Joseph William Burke III, DO

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1497799308
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3197 Issued in TX
Practice address
808 Keller Parkway
Keller, TX 76248
Phone
(817) 431-2573
Fax
(817) 379-6881
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3197 TX Primary

Addresses

Primary practice location

808 Keller Parkway
Keller, TX 76248

Mailing address

PO Box 487
Keller Family Medical Center
Keller, TX 76244-0487
Phone (817) 431-2573

Other names 1

  • Bill Burke Professional name

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
I20040115001186 TX Practitioner - Family Practice 6901707629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61.98 of 100Reported as group
Quality
100
Improvement activities
0
Cost
73.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Family Medical Center, PLLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients

Locations

808 Keller Pkwy
Keller, TX 76248
Phone (817) 431-2573

Interoperability endpoints

  • Direct secure messaging: joseph.burke.1@28296.direct.athenahealth.com
  • Direct secure messaging: jburke459183@direct.sw.org
  • FHIR API: https://api.platform.athenahealth.com/28296/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1497799308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "address_2": "KELLER FAMILY MEDICAL CENTER",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762440487",
            "telephone_number": "817-431-2573",
            "fax_number": "817-379-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 KELLER PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "817-431-2573",
            "fax_number": "817-379-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "BURKE",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.