Individual provider Active NPI

Robert Michael Burke Sr., PA-C

  • Physician Assistant
  • Wareham, MA
National Provider Identifier
1790745057
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA585 Issued in MA
Practice address
40 Church Ave Ste 202
Wareham, MA 02571-2093
Phone
(774) 255-1739
Fax
(774) 255-1790
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA585 MA Primary

Addresses

Primary practice location

40 Church Ave Ste 202
Wareham, MA 02571-2093

Mailing address

40 Church Ave Ste 202
Wareham, MA 02571-2093
Phone (774) 255-1739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000229 MA Practitioner - Physician Assistant 3678519907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLC 39 clinicians

Practice addresses (Care Compare)

15 Carlson LN
Unit 15B
Falmouth, MA 02540-2534
Phone (774) 255-1739

40 Church Ave
Suite 202
Wareham, MA 02571-2093
Phone (774) 678-4480

61 Industrial Park Rd
Suite 2
Plymouth, MA 02360-7246
Phone (508) 503-5020

68 Camp St
Suite 1
Hyannis, MA 02601-3048
Phone (774) 470-1370

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
585MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Apr 22, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 22, 2017 Accepting new patients
Total Wellness Centers, LLC CurrentSince Apr 14, 2025 Accepting new patients
Landmark Medical Center Past Accepting new patients

Locations

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

360 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

40 Church Ave
Ste 202
Wareham, MA 02571
Phone (508) 291-4898

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1790745057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHURCH AVE STE 202",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712093",
            "telephone_number": "774-255-1739",
            "fax_number": "774-255-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHURCH AVE STE 202",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712093",
            "telephone_number": "774-255-1739",
            "fax_number": "774-255-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_suffix": "Sr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wareham, MA

Sources for this page

Verify at the official NPI Registry.