Individual provider Active NPI

Sean Burke, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1669906541
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
678263 Issued in TX
Practice address
6431 Fannin St Ste MSB 2116
Houston, TX 77030
Phone
(713) 500-7640
NPI assigned
Apr 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 678263 TX Primary

Addresses

Primary practice location

6431 Fannin St Ste MSB 2116
Houston, TX 77030

Mailing address

10051 N 42ND St
Phoenix, AZ 85028-4501

Other practice location 1

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230707001365 AZ Practitioner - Diagnostic Radiology 8123487212 Reassigns benefits to 3 organizations
I20240214001600 CA Practitioner - Diagnostic Radiology 8123487212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Arizona Diagnostic Radiology Group LLCGroup PAC ID 1658796859, 62 clinicians

Practice addresses (Care Compare)

Gilbert, AZ 85234
Phone (877) 785-0009

18523 Corwin Rd
Suite J
Apple Valley, CA 92307-2300
Phone (760) 242-4444

25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230

26357 McBean Pkwy
Suite 155
Santa Clarita, CA 91355-4494
Phone (800) 378-5597

31775 De Portola Rd
Temecula, CA 92592-2742
Phone (951) 238-6070

35800 Bob Hope Dr
Suite 150a
Rancho Mirage, CA 92270-1740
Phone (760) 770-1920

399 E 21St St
San Bernardino, CA 92404-4815
Phone (951) 682-1099

44105 15TH St W
Suite 100
Lancaster, CA 93534-4090
Phone (661) 726-6700

4500 Olivewood Ave
Suite 100200
Riverside, CA 92501-4116
Phone (951) 682-7580

490 Paulette PL
La Canada, CA 91011-2728
Phone (585) 218-8005

4915 E Baseline Rd
Suite 116
Gilbert, AZ 85234-2966
Phone (480) 354-9200

6107 N Fresno St
Suite 101
Fresno, CA 93710-8617
Phone (559) 435-4433

801 S Main St
Corona, CA 92882-3410

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
678263TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc CurrentSince Nov 17, 2023 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jul 15, 2023 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Nov 17, 2023 Accepting new patients

Locations

1840 W Apache Trl
Apache Junction, AZ 85120
Phone (480) 288-6400

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

21300 N John Wayne Pkwy
Ste 113
Maricopa, AZ 85139
Phone (520) 568-6411

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

2653 W Guadalupe Rd
Ste 100
Mesa, AZ 85202
Phone (480) 455-1850

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

35800 Bob Hope Dr
Ste 150A
Rancho Mirage, CA 92270
Phone (760) 770-1920

57840 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1047

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1669906541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 N 42ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST STE MSB 2116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "678263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.