Phillip E Burket, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

M6551 Issued in TX

Practice address

2 Saint Marks PL
Ste. 160
La Grange, TX 78945-1251

Phone

(979) 242-5677

Fax

(979) 242-5680

NPI assigned

Jan 29, 2007

Last updated

Jan 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: 2562-burket-phillip@direct.leadingreach.com
• Direct secure messaging: smmpburke@yourcarecommunity.org

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.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Cardiovascular Disease

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1891831020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 205N",
            "address_2": "AUSTIN HEART PLLC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571016",
            "telephone_number": "512-206-4341",
            "fax_number": "512-407-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL",
            "address_2": "STE. 160",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451251",
            "telephone_number": "979-242-5677",
            "fax_number": "979-242-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKET",
        "first_name": "PHILLIP",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M6551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0488397-06",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pburket4010@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "2 Saint Marks Pl",
            "address_2": "STE. 160",
            "city": "LA Grange",
            "state": "TX",
            "country_code": "US",
            "postal_code": "789451251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allyson Borgstedte, DO
• Thomas O Borgstedte, D.O.
• Brawley Dental Clinic, PLLC
• Kari L Brawley
• Tess Pham Bruette, MD
• Teresa Kay Carmack
• Cindy Castello
• Luis A. Cazares, M.S. CCC-SLP
• Amanda G Cernosek I, CFNP
• Tara Childs, LPC

• Cardiovascular Disease Physician in La Grange, TX
• Providers in La Grange, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.