Active NPI
Dennis A. Burke, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Lewisburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 2786
- Practice address
- 400 N Jefferson St
Lewisburg, WV 24901 - Phone
- (304) 645-3220
- Fax
- (304) 645-4103
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 2786 | WV | Primary |
Addresses
Primary practice location
400 N Jefferson St
Lewisburg, WV 24901
Mailing address
400 N Jefferson St
Lewisburg, WV 24901
Phone (304) 645-3220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810026766 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
945 Main St
Suite 203
Manchester, CT 06040-6064
Phone (860) 871-6710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2786 | WV | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Access P.C. | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
945 Main St
Ste 203
Manchester, CT 06040
Phone (860) 646-1011
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
945 Main St
Manchester, CT 06040
Phone (860) 646-6383
130 Hartford Rd
Manchester, CT 06040
Phone (860) 533-4673
Interoperability endpoints
- dburke18880@sbhny.direct-ci.net
- dennisburke@mpp.allscriptsdirect.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.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Urgent Care Clinic/Center
- Germantown, MD
- NPI 1144291204
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1508975798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N JEFFERSON ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "24901",
"telephone_number": "304-645-3220",
"fax_number": "304-645-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N JEFFERSON ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "24901",
"telephone_number": "304-645-3220",
"fax_number": "304-645-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "DENNIS",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WV",
"license": "2786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810026766",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.