Individual provider Active NPI

Dane Rashike Burke, PT, PA-C, ATC

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1649302233
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15807 Issued in TX
Practice address
400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone
(210) 804-5506
Fax
(210) 804-5510
NPI assigned
Mar 10, 2007
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024438 NY
Physician Assistant 363A00000X PA15807 TX Primary
Physical Therapist 225100000X 026576 NY
Athletic Trainer 2255A2300X 030002067 NY

Addresses

Primary practice location

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Other practice location 1

5000 Schertz Pkwy Ste 600
Schertz, TX 78154-1457
Phone (210) 804-5506

Other practice location 2

11212 State Highway 151 Ste 150
San Antonio, TX 78251-4505
Phone (210) 804-5506

Other practice location 3

3327 Research Plz Ste 215
San Antonio, TX 78235-5157
Phone (210) 804-5506

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191227000603 NY Practitioner - Physician Assistant 5698860302 Reassigns benefits to 1 organization
I20221028001542 TX Practitioner - Physician Assistant 5698860302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of Ny Upstate Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026576NYMDPsychologist
030002067NYMDAthletic Trainer
024438NYMDSpeech-Language Pathologist
PA15807TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Services Inc. CurrentSince Dec 2, 2019 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Dec 2, 2019 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Aug 15, 2022 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Aug 15, 2022 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Northstar Physical Therapy PLLC Physical Therapist PastSince Jun 11, 2007 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4225 Genesee St
Cheektowaga, NY 14225
Phone (716) 829-6123

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

3327 Research Plz
Ste 215
San Antonio, TX 78235
Phone (210) 804-6890

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

5000 Schertz Pkwy
Ste 600
Schertz, TX 78154
Phone (210) 804-5672

Interoperability endpoints

  • Direct secure messaging: dane.burke.1@94.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1649302233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5400",
            "fax_number": "210-678-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166991",
            "telephone_number": "210-804-5506",
            "fax_number": "210-804-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Schertz Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541457",
            "country_code": "US",
            "telephone_number": "210-804-5506",
            "fax_number": "210-804-5510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11212 State Highway 151 Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514505",
            "country_code": "US",
            "telephone_number": "210-804-5506",
            "fax_number": "210-804-5510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3327 Research Plz Ste 215",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782355157",
            "country_code": "US",
            "telephone_number": "210-804-5506",
            "fax_number": "210-804-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DANE",
        "middle_name": "RASHIKE",
        "credential": "PT, PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024438",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15807",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026576",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "030002067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.