Active NPI
Del A Burchell, MD
- Internal Medicine Physician
- Crestview Hills, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20063
- Practice address
- 334 Thomas More Pkwy
Crestview Hills, KY 41017-3464 - Phone
- (859) 341-0288
- Fax
- (859) 341-7482
- NPI assigned
- Aug 3, 2005
- Last updated
- Apr 12, 2024
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 20063 | KY | |
| Internal Medicine Physician | 207R00000X | 20063 | KY | Primary |
Addresses
Primary practice location
334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 341-0288
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000044592 | Other | ANTHEM | |
| 64200637 | Medicaid | KY | |
| P00922863 | Other | KY | RAIL ROAD MEDICARE |
| 50006693 | Other | PASSPORT | |
| 637091 | Other | AETNA | |
| 021036000 | Other | FEDERAL BLACK LUNG | |
| 0420677 | Other | UNITED HEALTHCARE | |
| 0563466 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20063 | KY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Internal Medicine Associates of Northern Kentucky | Internal Medicine | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Specialist | Current | Accepting new patients |
| Diagnostic Cardiologists Inc. | Past | Accepting new patients |
Locations
2900 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-0288
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2300 Chamber Center Dr
Lakeside Park, KY 41017
Phone (859) 341-3114
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- dburchell107497@direct-prd.stelizabeth.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.
-
dba St. Elizabeth Healthcare
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
Specialist
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Internal Medicine
-
- Internal Medicine Physician
- Crestview Hills, KY
- NPI 1861445504
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1033109566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1619978418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-341-0288",
"fax_number": "859-341-7482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 THOMAS MORE PKWY",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173464",
"telephone_number": "859-341-0288",
"fax_number": "859-341-7482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHELL",
"first_name": "DEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "20063",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "20063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000044592",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64200637",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00922863",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50006693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "637091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "021036000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0420677",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0563466",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.