Active NPI
Raina Jo Burke, M.D.
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 22709
- Practice address
- 4201 Saint Antoine St
Suite 3R
Detroit, MI 48201-2153 - Phone
- (313) 745-3000
- NPI assigned
- Jun 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | PENDING | MI | |
| Emergency Medicine Physician | 207P00000X | 22709 | WV | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Suite 3R
Detroit, MI 48201-2153
Mailing address
221 N Liberty St
Belleville, MI 48111-2637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22709 | WV | MD | Emergency Medicine Physician |
| PENDING | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Hospitals Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc. | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc. | Emergency Medicine | Current | Accepting new patients |
| West Virginia University Hospitals, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Interoperability endpoints
- rburke163364@direct.wvuhsdirect.com
Organizations & group practices 5
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
- Wheeling, WV
- NPI 1548923923
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1598847634
-
- Emergency Medicine Physician
- Uniontown, PA
- NPI 1225693484
-
- Rehabilitation Hospital Unit
- Morgantown, WV
- NPI 1760209225
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1558307223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 N LIBERTY ST",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "SUITE 3R",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "RAINA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "PENDING",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "22709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.