Individual provider Active NPI

Elise Sylvie Burger, MD, PHD

  • Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1558820944
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PTL4383 Issued in CA
Practice address
30 N 1900 E # 4A330
Salt Lake City, UT 84132-1010
Phone
(801) 581-6465
NPI assigned
Mar 15, 2019
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 13322820-1205 UT
Dermatology Physician 207N00000X PTL4383 CA Primary

Addresses

Primary practice location

30 N 1900 E # 4A330
Salt Lake City, UT 84132-1010

Mailing address

PO Box 841052
Los Angeles, CA 90084-1052
Phone (801) 587-6340

Other practice location 1

243 E 6100 S
Murray, UT 84107-7302
Phone (801) 581-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, HI, NV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230504000612 UT Practitioner - Dermatology 1951766542 Reassigns benefits to 2 organizations
I20240807001193 WY Practitioner - Dermatology 1951766542 Reassigns benefits to 1 organization
I20250529001223 HI Practitioner - Dermatology 1951766542 Reassigns benefits to 2 organizations
I20251104002548 NV Practitioner - Dermatology 1951766542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Dermatology Division University of Utah Medical CenterGroup PAC ID 9638073497, 73 clinicians
The Makana North Shore ClinicGroup PAC ID 8426308883, 27 clinicians

Practice addresses (Care Compare)

1577 Dewar Dr
Suite 109
Rock Springs, WY 82901-5716
Phone (801) 581-2955

247 Bluffs Ave
Suite 102
Elko, NV 89801-2488
Phone (801) 581-2955

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone (808) 320-7300

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 587-6340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
52.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions342
Removal or shaving of skin growth1-10
Skin biopsy71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PTL4383CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Makana North Shore Clinic CurrentSince Apr 1, 2025 Accepting new patients
U-U Pediatric Dermatology CurrentSince Apr 1, 2023 Accepting new patients
Makana North Shore Dermatology Dermatology CurrentSince Sep 2, 2025 Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Apr 1, 2023 Accepting new patients
University of Utah Past Accepting new patients
University of Utah Adult Services Past Accepting new patients

Locations

4488 Hanalei Plantation Rd
Princeville, HI 96722
Phone (808) 320-7300

247 Bluffs Ave
Ste 102
Elko, NV 89801
Phone (775) 369-2799

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

243 E 6100 S
Salt Lake City, UT 84107
Phone (801) 585-3927

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1577 Dewar Dr
Ste 109
Rock Springs, WY 82901
Phone (801) 581-3495

1577 Dewar Dr
Ste 9
Rock Springs, WY 82901

Interoperability endpoints

  • Direct secure messaging: eburger649123@direct.med.utah.edu
  • Direct secure messaging: elise.burger@hca3.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1558820944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841052",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900841052",
            "telephone_number": "801-587-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E # 4A330",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841321010",
            "telephone_number": "801-581-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 E 6100 S",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841077302",
            "country_code": "US",
            "telephone_number": "801-581-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGER",
        "first_name": "ELISE",
        "middle_name": "SYLVIE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "13322820-1205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PTL4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.