Active NPI
Patrick L. Burba, M.D.
- Psychiatry Physician
- Paducah, KY
National Provider Identifier
1760423511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 29358
- Practice address
- 2620 Perkins Creek Dr
Dept of Veterans Affairs
Paducah, KY 42001-7494 - Phone
- (270) 444-8465
- Fax
- (270) 443-7734
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29358 | KY | Primary |
Addresses
Primary practice location
2620 Perkins Creek Dr
Dept of Veterans Affairs
Paducah, KY 42001-7494
Mailing address
2620 Perkins Creek Dr
Dept of Veterans Affairs
Paducah, KY 42001-7494
Phone (270) 444-8465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6429358200 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Counseling & Management, Inc. | Past | Accepting new patients | |
| Merit Behavioral Associates, Inc | Psychiatry | Past | Accepting new patients |
| Remedy Counseling & Management, Inc. | Past | Accepting new patients |
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.
-
- Nursing Facility/Intermediate Care Facility
- Frenchburg, KY
- NPI 1689751083
-
- Mental Health Counselor
- Versailles, KY
- NPI 1114974003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1760423511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 PERKINS CREEK DR",
"address_2": "DEPT OF VETERANS AFFAIRS",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017494",
"telephone_number": "270-444-8465",
"fax_number": "270-443-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 PERKINS CREEK DR",
"address_2": "DEPT OF VETERANS AFFAIRS",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017494",
"telephone_number": "270-444-8465",
"fax_number": "270-443-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURBA",
"first_name": "PATRICK",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "29358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6429358200",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.