Individual provider Active NPI

Thomas J. Burke, D.O.

  • Dermatology Physician
  • Newark, DE
National Provider Identifier
1881698389
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C20006239 Issued in DE
Practice address
774 Christiana Rd Ste 107
Newark, DE 19713-4248
Phone
(302) 230-3376
Fax
(302) 266-4337
NPI assigned
Jun 13, 2005
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C20006239 DE Primary

Addresses

Primary practice location

774 Christiana Rd Ste 107
Newark, DE 19713-4248

Mailing address

774 Christiana Rd Ste 107
Newark, DE 19713-4248
Phone (302) 230-3376

Other practice location 1

95 Wolf Creek Blvd Ste 1
Dover, DE 19901-4965
Phone (302) 734-3376

Other practice location 2

353 Savannah Rd
Lewes, DE 19958-1438
Phone (302) 703-6585

Other practice location 3

212 Carter Dr Ste A
Middletown, DE 19709-5837
Phone (302) 449-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000564 DE Practitioner - Dermatology 7911908363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Dermatology PAGroup PAC ID 4082615430, 11 clinicians

Practice addresses (Care Compare)

774 Christiana Rd
Suite 107
Newark, DE 19713-4248
Phone (302) 230-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.55 of 100Reported as group
Quality
85.31
Improvement activities
40
Cost
71.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1653
Removal of skin cancer373
Removal or shaving of skin growth1-10
Skin biopsy941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C20006239DEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Dermatology, PA Dermatology CurrentSince Nov 22, 2006 Accepting new patients
Advanced Ears Nose and Throat LLC PastSince Nov 22, 2006 Accepting new patients
Delaware Center for Digestive Care LLC Past Accepting new patients
Southern Delaware Pain Management LLC Past Accepting new patients

Locations

95 Wolf Creek Blvd
Ste 1
Dover, DE 19901
Phone (302) 674-2390

353 Savannah Rd
Lewes, DE 19958
Phone (302) 645-2244

212 Carter Dr
Ste A
Middletown, DE 19709
Phone (302) 378-4407

48H Omega Dr
Newark, DE 19713
Phone (302) 230-3376

774 Christiana Rd
Ste 107
Newark, DE 19713
Phone (302) 230-3376

Organizations & group practices 4

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 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1881698389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 107",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134248",
            "telephone_number": "302-230-3376",
            "fax_number": "302-266-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 107",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134248",
            "telephone_number": "302-230-3376",
            "fax_number": "302-266-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Wolf Creek Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199014965",
            "country_code": "US",
            "telephone_number": "302-734-3376",
            "fax_number": "302-734-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581438",
            "country_code": "US",
            "telephone_number": "302-703-6585",
            "fax_number": "302-703-6589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Carter Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095837",
            "country_code": "US",
            "telephone_number": "302-449-2400",
            "fax_number": "302-376-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C20006239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.