Individual provider Active NPI

Richard Joseph Burger, M.D.

  • Infectious Disease Physician
  • Centerville, IA
National Provider Identifier
1710968243
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD16211 Issued in AK
Practice address
19942 Saint Joseph Drive
Centerville, IA 52544-8849
Phone
(641) 856-8684
Fax
(641) 856-3009
NPI assigned
Nov 10, 2005
Last updated
Feb 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD16211 AK Primary

Addresses

Primary practice location

19942 Saint Joseph Drive
Centerville, IA 52544-8849

Mailing address

19942 Saint Joseph Drive
Centerville, IA 52544-8849
Phone (641) 856-8684

Other identifiers 1

IdentifierTypeStateIssuer
MD16211MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20101019001362 IA Practitioner - Internal Medicine 2860486479 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1621AKMDPharmacy Technician
MD16211AKMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince Aug 5, 2010 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Aug 5, 2010 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
North Star Oral & Facial Surgery, LLC PastSince Aug 28, 2017 Accepting new patients
Arctic Internal Medicine, PB PastSince Apr 14, 2004 Accepting new patients

Locations

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

19942 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 856-8684

Interoperability endpoints

  • Direct secure messaging: rburger3964013@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1710968243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19942 SAINT JOSEPH DRIVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448849",
            "telephone_number": "641-856-8684",
            "fax_number": "641-856-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19942 SAINT JOSEPH DRIVE",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448849",
            "telephone_number": "641-856-8684",
            "fax_number": "641-856-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AK",
            "license": "MD16211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD16211",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.