Active NPI
Charles J Burch, MD
- Pulmonary Disease Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- K2657
- Practice address
- 21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669 - Phone
- (210) 690-7400
- Fax
- (210) 957-6956
- NPI assigned
- Jul 7, 2005
- Last updated
- Oct 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K2657 | TX | |
| Pulmonary Disease Physician | 207RP1001X | K2657 | TX | Primary |
Addresses
Primary practice location
21 Spurs LN
Suite 230B
San Antonio, TX 78240-1669
Mailing address
4458 Medical Dr
Ste 505
San Antonio, TX 78229-3748
Phone (210) 690-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A7078 | Other | TX | MEDICARE LEGACY NUMBER |
| 0010KH | Other | TX | BLUE CROSS |
| 105831504 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Texas Medical School at San Antonio, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4458 Medical Dr
Suite 505
San Antonio, TX 78229-3748
Phone (210) 690-7400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.15 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2657 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles J. Burch, M.D., P.a. | Pulmonary Disease | Current | Accepting new patients |
| Texas Ips LLC | Pulmonary Disease | Current | Accepting new patients |
| Accomplished Diagnostic Medical Inpatient Team, P.a. | Past | Accepting new patients |
Locations
12446 West Ave
Ste 200
San Antonio, TX 78216
Phone (210) 690-0230
21 Spurs Ln
Ste 230B
San Antonio, TX 78240
4410 Medical Dr
Ste 440
San Antonio, TX 78229
Phone (210) 692-9400
4458 Medical Dr
Ste 505
San Antonio, TX 78229
4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325
4499 Medical Dr
Ste 150
San Antonio, TX 78229
Phone (210) 614-8181
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1588843239
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1629368535
-
dba Admit, PA
- Internal Medicine Physician
- San Antonio, TX
- NPI 1033138151
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Metropolitan Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
dba Methodist Specialty and Transplant Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1831196559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4458 MEDICAL DR",
"address_2": "STE 505",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293748",
"telephone_number": "210-690-7400",
"fax_number": "210-957-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPURS LN",
"address_2": "SUITE 230B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401669",
"telephone_number": "210-690-7400",
"fax_number": "210-957-6956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K2657",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "K2657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY NUMBER",
"identifier": "8A7078",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0010KH",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105831504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.