Active NPI
Gordon M. Burke, MD
- Cardiovascular Disease Physician
- West Roxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 260120
- Practice address
- 1400 VFW Parkway
Cardiology Section 111Ca
West Roxbury, MA 02132 - Phone
- (857) 203-6840
- NPI assigned
- May 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 260120 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Cardiovascular Disease Physician | 207RC0000X | 260120 | MA | Primary |
Addresses
Primary practice location
1400 VFW Parkway
Cardiology Section 111Ca
West Roxbury, MA 02132
Mailing address
720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Internal Medicine
- Education
- New York Medical College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Highland St
Milton, MA 02186-3881
Phone (617) 698-8855
92 Highland St
Milton, MA 02186-3800
Phone (617) 696-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milton Cardiac Testing, P.C. | Cardiovascular Disease | Current | Accepting new patients |
| South Shore Internal Medicine Associates Inc. | Internal Medicine | Current | Accepting new patients |
Locations
100 Highland St
Ste 300
Milton, MA 02186
Phone (617) 698-8855
92 Highland St
Milton, MA 02186
Phone (617) 698-8855
100 Highland St
Milton, MA 02186
Phone (617) 615-4000
10 Little Brook Rd
West Wareham, MA 02576
Interoperability endpoints
- gordon.burke@ssi.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Milton, MA
- NPI 1093827438
-
- Rheumatology Physician
- Milton, MA
- NPI 1053475012
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1578856241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE",
"address_2": "DOB 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 VFW PARKWAY",
"address_2": "CARDIOLOGY SECTION 111CA",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "857-203-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "GORDON",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "260120",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "260120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.