Active NPI
Suzanne M Burke, PA
- Physician Assistant
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA200242
- Practice address
- 7847 Youree Dr
Shreveport, LA 71105-5505 - Phone
- (318) 212-3930
- Fax
- (318) 212-3935
- NPI assigned
- Dec 5, 2008
- Last updated
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA200242 | LA | Primary |
Addresses
Primary practice location
7847 Youree Dr
Shreveport, LA 71105-5505
Mailing address
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8951
Other practice location 1
7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone (318) 212-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356239 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7925 Youree Dr
Suite 200
Shreveport, LA 71105-5134
Phone (318) 212-3610
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.53 of 100
- Quality
- 81.42
- Promoting interoperability
- 94.6
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200242 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology and Osteoporosis Specialists, AMC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAJHBA
- sburke1@direct.wkhs.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Shreveport, LA
- NPI 1780612119
-
- Rheumatology Physician
- Shreveport, LA
- NPI 1689766271
-
dba Rheumatology and Osteoporosis Specialists Pharmacy
- Pharmacy
- Shreveport, LA
- NPI 1477343713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1730324724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 LOUISIANA AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013910",
"telephone_number": "318-212-8951",
"fax_number": "318-212-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7847 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055505",
"telephone_number": "318-212-3930",
"fax_number": "318-212-3935"
}
],
"practiceLocations": [
{
"address_1": "7925 Youree Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711055134",
"country_code": "US",
"telephone_number": "318-212-3610",
"fax_number": "318-212-3709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "SUZANNE",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA200242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356239",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.