Active NPI
Kaitlyn N Burke, PA-C
- Medical Physician Assistant
- Macungie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA063807
- Practice address
- 6451 Village LN
Macungie, PA 18062-8484 - Phone
- (610) 967-2772
- Fax
- (732) 557-1083
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA063807 | PA | Primary |
Addresses
Primary practice location
6451 Village LN
Macungie, PA 18062-8484
Mailing address
2100 Mack Blvd
Allentown, PA 18103-5622
Phone (848) 844-5004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220923000038 | PA | Practitioner - Physician Assistant | 6406231604 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lehigh Valley Physician Group
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800
5649 Wynnewood Dr
Laurys Station, PA 18059-1124
6451 Village LN
Macungie, PA 18062-8484
Phone (610) 967-2772
Hospital & facility affiliations
- Lehigh Valley Hospital - Macungie
- Lehigh Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuylkill Health System Medical Group, Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
3371 Route 100
Macungie, PA 18062
Phone (610) 336-8277
6451 Village Ln
Macungie, PA 18062
Phone (610) 967-2772
700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440
Interoperability endpoints
- kburke699074@direct2.lvhn.org
Organizations & group practices 10
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.
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- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
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": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1558097360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "848-844-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 VILLAGE LN",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180628484",
"telephone_number": "610-967-2772",
"fax_number": "732-557-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "KAITLYN",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA063807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macungie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.