Charles Jeffrey Burgher, M.D.
Individual provider Active NPI Internal Medicine Physician · Crestview Hills, KY
NPI 1922045186 · NPPES record last updated Apr 12, 2024
Key facts
- NPI
- 1922045186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 36645 (KY)
- Practice address
- 334 Thomas More Pkwy
Crestview Hills, KY 41017-3464 - Phone
- (859) 578-3400
- Fax
- (859) 957-0055
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
- St Elizabeth Home Care
- Caretenders of Northern Kentucky
- Amedisys Home Health of Kentucky
- St Elizabeth Edgewood
- St Elizabeth Florence
- St Elizabeth Ft Thomas
- St Elizabeth Grant
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100114000284 | KY | Practitioner - Internal Medicine |
3971644832 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36645 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Cincinnati Health Care Group PSC | Past | Accepting new patients |
Locations
340 Thomas More Pkwy
#160
Crestview Hills, KY 41017
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
2765 Chapel Pl
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-1900
351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000
8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- cburgher5609@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36645 | KY | |
| Internal Medicine Physician | 207R00000X | 36645 | KY | Yes |
Addresses
Primary practice location
334 Thomas More Pkwy
Crestview Hills, KY 41017-3464
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 578-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64042849 | Medicaid | KY | |
| P00812086 | Other | RAILROAD MEDICARE | |
| 110223258 | Other | KY | RAILROAD MEDICARE |
| 2275309 | Medicaid | OH |
Other providers in Crestview Hills, KY
- Amanda Michelle Browne
- Suzana Brozovic
- Melissa Renee Brueggemann
- Meredith Nicole Brueggemann
- Del A Burchell
- Charlene Burlew
- Kerrin D Burte
- Katherine Lee Bushong
- Elizabeth Butcher
- Joshua A Caldwell
All providers in Crestview Hills, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.