Individual provider Active NPI

Rosalia C Burke, MD

  • Otolaryngology Physician
  • Conroe, TX
National Provider Identifier
1962597831
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L7320 Issued in TX
Practice address
1501 River Pointe Dr
Ste 120
Conroe, TX 77304-2656
Phone
(936) 539-4700
Fax
(936) 539-6618
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L7320 TX Primary
Sleep Medicine (Otolaryngology) Physician 207YS0012X L7320 TX

Addresses

Primary practice location

1501 River Pointe Dr
Ste 120
Conroe, TX 77304-2656

Mailing address

10740 N Gessner Dr
Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416

Other identifiers 2

IdentifierTypeStateIssuer
1472069OtherTXBEECHSTREET
162913102MedicaidTX

Other names 1

  • Rosalia Chipelo Fonseca Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20031111000841 TX Practitioner - Otolaryngology 9537072863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians

Practice addresses (Care Compare)

155 School St
Suite 210
Tomball, TX 77375-5382
Phone (281) 351-8407

20207 Chasewood Park Dr
Suite 100
Houston, TX 77070-1441
Phone (832) 237-2227

6565 W Loop S
Suite 350
Bellaire, TX 77401-3500
Phone (713) 791-9363

7900 Fannin St
Suite 1900
Houston, TX 77054-2934
Phone (713) 791-9363

9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3182
Phone (281) 362-1368

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Aspire Hospital Hospital, Conroe, TX, CCN 670093
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, PLLC Otolaryngology CurrentSince Sep 2, 2010 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

4015 Interstate 45 N
Ste 330
Conroe, TX 77304
Phone (936) 539-4700

1501 River Pointe Dr
Ste 120
Conroe, TX 77304
Phone (936) 539-4700

7900 Fannin St
#1900
Houston, TX 77054
Phone (713) 791-9363

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1962597831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER DR",
            "address_2": "STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416",
            "fax_number": "281-890-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR",
            "address_2": "STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042656",
            "telephone_number": "936-539-4700",
            "fax_number": "936-539-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "ROSALIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L7320",
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "TX",
            "license": "L7320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "1472069",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162913102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIA",
            "last_name": "FONSECA",
            "middle_name": "CHIPELO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.