Active NPI
Zachary Dalton Burkhart, MD
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1831696384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 63200
- Practice address
- 4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693 - Phone
- (480) 961-2303
- NPI assigned
- Apr 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 63200 | AZ | Primary |
Addresses
Primary practice location
4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693
Mailing address
4530 E Muirwood Dr Ste 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095446 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210817004030 | AZ | Practitioner - Internal Medicine | 0042615890 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303
Hospital & facility affiliations
- Chandler Regional Medical Center
- Honor Health John C. Lincoln Medical Center
- St Josephs Hospital and Medical Center
- Dignity Health Arizona General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63200 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Aia Hospitalists LLC | Internal Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Internal Medicine | Past | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
Interoperability endpoints
- zburkhart173851@direct.valleywisehealth.org
- https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/
Organizations & group practices 6
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.
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AZ
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- NPI 1144624339
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- General Acute Care Hospital
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- NPI 1700910189
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
Internal Medicine
Hospital & facility affiliations 15
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": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1831696384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487693",
"telephone_number": "480-961-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E MUIRWOOD DR STE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487693",
"telephone_number": "480-961-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "ZACHARY",
"middle_name": "DALTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2021-08-12",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "63200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095446",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.