Individual provider Active NPI

Danielle Dolores Burke, PA-C

  • Surgical Physician Assistant
  • Williamsville, NY
National Provider Identifier
1730710690
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
024619 Issued in NY
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

Updated by the provider on Aug 26, 2025

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 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

IdentifierTypeStateIssuer
300074609MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IN, VT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221007002843 MN Practitioner - Physician Assistant 8921437476
I20230508001519 IN Practitioner - Physician Assistant 8921437476 Reassigns benefits to 1 organization
I20240207002591 VT Practitioner - Physician Assistant 8921437476 Reassigns benefits to 1 organization

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 Hospital, Long Beach, CA, CCN 050485
  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14112MNMDClinical Social Worker
024619NYMDDental Hygienist
PA61115CAMDPhysician Assistant
10003996AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince May 1, 2023 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jan 1, 2024 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

  • Direct secure messaging: dburke595824@excellian.direct.allina.com
  • Direct secure messaging: dburke763624@hisp.ehr.sutterhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.