Active NPI
Robert S. Burks, MD
- Anesthesiology Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00031252
- Practice address
- 12040 NE 128TH St
Kirkland, WA 98034-3013 - Phone
- (425) 899-1000
- NPI assigned
- May 19, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00031252 | WA | Primary |
Addresses
Primary practice location
12040 NE 128TH St
Kirkland, WA 98034-3013
Mailing address
PO Box 34935
Dept. 390
Seattle, WA 98124-1935
Phone (503) 372-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8175887 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Anesthesiology
- Education
- Loma Linda University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000
Hospital & facility affiliations
- Evergreenhealth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00031252 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Anesthesia, PS | Anesthesiology | Current | Accepting new patients |
| Anesthesia Specialists, PLLC | Anesthesiology | Past | Accepting new patients |
| Northwest Anesthesiologists, PS | Anesthesiology | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
12040 NE 128th St
Ste Blue
Kirkland, WA 98034
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
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.
-
- Anesthesiology Physician
- Bellevue, WA
- NPI 1831146422
-
- Anesthesiology Physician
- Everett, WA
- NPI 1760543284
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1932157625
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1841244530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34935",
"address_2": "DEPT. 390",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241935",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-899-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "ROBERT",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00031252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8175887",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.