Active NPI
Bobby R. Burches Jr., D.O.
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 02007110A
- 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, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00520502 | Other | IN | RAILROAD PTAN |
| 300077464 | Medicaid | IN | |
| 266431037 | Other | IN | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4409 | WV | MD | General Practice Dentistry |
| H0075529 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Ias Illinois PC | Anesthesiology | Current | Accepting new patients |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| North American Partners in Anesthesia New Hampshire LLP | Anesthesiology | Current | Accepting new patients |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group Anesthesiology LLC | Anesthesiology | Current | Accepting new patients |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| University of Maryland Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Johns Hopkins University | Anesthesiology | Current | Accepting new patients |
| General Anesthesia Services Inc | Anesthesiology | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | 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
- 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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1811997869
-
- Anesthesiology Physician
- Geneva, IL
- NPI 1265118723
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.