Active NPI
Danielle Dolores Burke, PA-C
- Surgical Physician Assistant
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 024619
- Practice address
- 1540 Maple Rd
Williamsville, NY 14221-3698 - Phone
- (716) 568-3600
- NPI assigned
- Jan 30, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003996A | IN | |
| Physician Assistant | 363A00000X | 055-0031733 | VT | |
| Physician Assistant | 363A00000X | PA61115 | CA | |
| Surgical Physician Assistant | 363AS0400X | 024619 | NY | Primary |
Addresses
Primary practice location
1540 Maple Rd
Williamsville, NY 14221-3698
Mailing address
PO Box 488
Buffalo, NY 14240-0488
Phone (716) 422-5422
Other practice location 1
104 Union Ave Ste 809
Syracuse, NY 13203-1843
Phone (315) 477-4740
Other practice location 2
125 Business Park Dr Ste 150
Utica, NY 13502-6305
Phone (315) 235-2540
Other practice location 3
45 Spindrift Dr Ste 100
Williamsville, NY 14221-7889
Phone (716) 422-5422
Other practice location 4
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-3790
Other practice location 5
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300074609 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IN, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Florida State University College of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Ctr St Promenade
Anaheim, CA 92805-3960
Hospital & facility affiliations
- Memorialcare Long Beach Medical Center
- Adventist Health St Helena
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14112 | MN | MD | Clinical Social Worker |
| 024619 | NY | MD | Dental Hygienist |
| PA61115 | CA | MD | Physician Assistant |
| 10003996A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- dburke595824@excellian.direct.allina.com
- dburke763624@hisp.ehr.sutterhealth.org
- dburke4064403@oc.providencedirect.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1730710690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142400488",
"telephone_number": "716-422-5422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 MAPLE RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213698",
"telephone_number": "716-568-3600"
}
],
"practiceLocations": [
{
"address_1": "104 Union Ave Ste 809",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132031843",
"country_code": "US",
"telephone_number": "315-477-4740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Business Park Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135026305",
"country_code": "US",
"telephone_number": "315-235-2540",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Spindrift Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142217889",
"country_code": "US",
"telephone_number": "716-422-5422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-3790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 Dolbeer St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955014736",
"country_code": "US",
"telephone_number": "707-445-8121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "DANIELLE",
"middle_name": "DOLORES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003996A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055-0031733",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61115",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "024619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300074609",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.