NPIMap

Individual provider Active NPI

Jason Burkle

  • Foot & Ankle Surgery Podiatrist
  • Madison, WI
National Provider Identifier
1871997593
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
17966-875 Issued in WI
Practice address
2500 Overlook Ter
Madison, WI 53705-2254
Phone
(563) 581-5747
NPI assigned
Oct 9, 2014
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 17966-875 WI Primary

Addresses

Primary practice location

2500 Overlook Ter
Madison, WI 53705-2254

Mailing address

6150 Century Ave Apt 207
Middleton, WI 53562-1845
Phone (563) 581-5747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003551 KS Practitioner - Podiatry 5991077240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Institute of Podiatry PAGroup PAC ID 1759649650, 3 clinicians

Practice addresses (Care Compare)

10550 Quivira Rd
Suite 360
Overland Park, KS 66215-2379
Phone (913) 894-4040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue144
Removal of skin lesions1-10
Removal of nail tissue457
Removal or shaving of skin growth83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17966-875WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Institute of Podiatry, P.a. Foot & Ankle Surgery CurrentSince Sep 1, 2018 Accepting new patients

Locations

10550 Quivira Rd
Ste 360
Overland Park, KS 66215
Phone (913) 227-0565

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1871997593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 CENTURY AVE APT 207",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621845",
            "telephone_number": "563-581-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OVERLOOK TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052254",
            "telephone_number": "563-581-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLE",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "17966-875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.