Individual provider Active NPI

Bobby R. Burches Jr., D.O.

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1598992828
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
02007110A Issued in IN
Practice address
1701 N Senate Blvd Ste 4110
Indianapolis, IN 46202-1239
Phone
(317) 577-4200
Fax
(317) 577-4200
NPI assigned
Jun 12, 2009
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H0075529 MD
Anesthesiology Physician 207L00000X 02007110A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd Ste 4110
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0942

Other identifiers 3

IdentifierTypeStateIssuer
Q00520502OtherINRAILROAD PTAN
300077464MedicaidIN
266431037OtherINMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bburchesjr@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NH, IN, WV, IL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20130826000710 MD Practitioner - Anesthesiology 0648416057 Reassigns benefits to 5 organizations
I20170405000082 DC Practitioner - Anesthesiology 0648416057 Reassigns benefits to 1 organization
I20200211002742 NH Practitioner - Anesthesiology 0648416057 Reassigns benefits to 2 organizations
I20230525003347 IN Practitioner - Anesthesiology 0648416057 Reassigns benefits to 1 organization
I20240909000513 WV Practitioner - Anesthesiology 0648416057 Reassigns benefits to 2 organizations
I20241028003169 IL Practitioner - Anesthesiology 0648416057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4409WVMDGeneral Practice Dentistry
H0075529MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Ias Illinois PC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 10, 2020 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Anesthesiology CurrentSince Aug 14, 2020 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 10, 2020 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Jul 5, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Jul 5, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Anesthesiology Associates, P.a. Anesthesiology CurrentSince Jun 28, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Feb 1, 2017 Accepting new patients
Johns Hopkins University Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
General Anesthesia Services Inc Anesthesiology CurrentSince Oct 19, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 9, 2023 Accepting new patients

Locations (25 of 26)

5208 Reliable Pkwy
Chicago, IL 60686

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

3801 International Dr
Ste 300
Silver Spring, MD 20906
Phone (301) 598-5100

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

3508 Staunton Ave SE
Charleston, WV 25304
Phone (304) 925-4086

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

Interoperability endpoints

  • Direct secure messaging: bburches32733@direct.hopkinsmedicine.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1598992828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD STE 4110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "410-550-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHES",
        "first_name": "BOBBY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H0075529",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "02007110A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "Q00520502",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300077464",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "266431037",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bburchesjr@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd Ste 4110",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.