Timothy Kelly Burke, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS016416 Issued in PA

Practice address

5 S Washington Ave
Jermyn, PA 18433-1121

Phone

(570) 230-0019

Fax

(570) 230-0013

NPI assigned

Jul 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothyb@thewrightcenter.medentdirect.com

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.

• The Wright Center Medical Group

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1194739979

  Internal Medicine, PA

  Medicare reassignment Care Compare group NPD
• The Wright Center Medical Group

  • Federally Qualified Health Center (FQHC)
  • Scranton, PA
  • NPI 1649836941

  Internal Medicine

  Care Compare group NPD
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scranton Quincy Home Care Services

  • Home Health Agency
  • Scranton, PA
  • NPI 1902176787
  Care Compare affiliation Name & address match
• Allied Services Institute of Rehabilitation Medicine

  • Rehabilitation Hospital
  • Scranton, PA
  • NPI 1316944184

  Inpatient rehabilitation facility

  Care Compare affiliation
• Community Medical Center

  • Clinic/Center
  • Scranton, PA
  • NPI 1285032128

  Hospital

  Care Compare affiliation
• Community Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Scranton, PA
  • NPI 1306439856

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507

  Hospital

  Care Compare affiliation
• Community Medical Center

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1770960130

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1972652063

  Hospital

  Care Compare affiliation
• Geisinger Mt Pleasant Imaging, a Service of Geisinger Comm Med Center

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1467850149

  Hospital

  Care Compare affiliation
• Geisinger View Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1548648272

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1124405592

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Physical Therpy, a Service of GCMC

  • Physical Therapy Clinic/Center
  • Scranton, PA
  • NPI 1336526276

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Sleep Center, a Service of GCMC

  • Sleep Disorder Diagnostic Clinic/Center
  • Scranton, PA
  • NPI 1417334350

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Wright Center Medical Group 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
• Personal Home Healthcare and Hospice Home health agency, Blakely, PA, CCN 398192
• Commonwealth Home Health of Moses Taylor Home health agency, Scranton, PA, CCN 397611
• Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
• Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
• Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1609188945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S WASHINGTON AVE",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331121",
            "telephone_number": "570-230-0019",
            "fax_number": "570-230-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S WASHINGTON AVE",
            "city": "JERMYN",
            "state": "PA",
            "postal_code": "184331121",
            "telephone_number": "570-230-0019",
            "fax_number": "570-230-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102401",
            "country_code": "US",
            "telephone_number": "570-343-2383",
            "fax_number": "570-230-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "TIMOTHY",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT013485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS016416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102828357001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TimothyB@thewrightcenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "HISP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccd",
            "address_1": "5 S Washington Ave",
            "city": "Jermyn",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184331121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Balance Pediatric Developmental Services, LLC
• Jumee Barooah, MD
• Bryan Boyle, PA-C
• Joshua Braddell
• Brianna Marie Buonomo, LPC, NCC
• Molly Catherine Chafin
• Community Health Hub
• Jessica Comstock
• Gina Marie Constantini, LCSW
• Bridget Conway, MSW

• All providers in Jermyn, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.