Individual provider Active NPI

Elizabeth Mary Burke, M.D.

  • Dermatology Physician
  • Salisbury, MD
National Provider Identifier
1740248236
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D36872 Issued in MD
Practice address
106 Milford St Ste 301
Salisbury, MD 21804-6962
Phone
(410) 546-4431
Fax
(410) 543-8259
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D36872 MD Primary

Addresses

Primary practice location

106 Milford St Ste 301
Salisbury, MD 21804-6962

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5933

Other identifiers 1

IdentifierTypeStateIssuer
287001100MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Elizabeth.Burke@forefrontdermatology.emadirect.md
Direct Messaging Address Elizabeth.Burke@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20091202000540 MD Practitioner - Dermatology 5193864262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

106 Milford St
Suite 301
Salisbury, MD 21804-6962
Phone (410) 546-4431

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision229
Removal of skin lesions2215
Removal or shaving of skin growth40
Skin biopsy502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D36872MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology SC Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

106 Milford St
Ste 302
Salisbury, MD 21804
Phone (410) 546-4431

106 Milford St
Ste 301
Salisbury, MD 21804
Phone (410) 546-4431

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: eburke@pda2052.srs-direct.com
  • Direct secure messaging: elizabeth.burke@forefrontdermatology.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1740248236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 301",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046962",
            "telephone_number": "410-546-4431",
            "fax_number": "410-543-8259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Caroline St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870006",
            "country_code": "US",
            "telephone_number": "410-955-5933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D36872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287001100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elizabeth.Burke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "601 N Caroline St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212870006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elizabeth.Burke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "106 Milford St Ste 301",
            "city": "Salisbury",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218046962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.