Individual provider Active NPI

Craig Burkhart, M.D.

  • Dermatology Physician
  • Cary, NC
National Provider Identifier
1962624478
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200401477 Issued in NC
Practice address
135 Parkway Office CT Ste 201
Cary, NC 27518-7425
Phone
(919) 476-1118
Fax
(855) 878-6037
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 200401477 NC Primary

Addresses

Primary practice location

135 Parkway Office CT Ste 201
Cary, NC 27518-7425

Mailing address

135 Parkway Office CT Ste 201
Cary, NC 27518-7425
Phone (919) 476-1118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.burkhart.1@20521.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080422000731 NC Practitioner - Dermatology 8820176480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Pkwy Office CT
Suite 201
Cary, NC 27518-7425
Phone (919) 476-1118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401477NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burkhart Pediatric & Adolescent Dermatology PLLC CurrentSince Jun 6, 2020 Accepting new patients

Locations

135 Parkway Office Ct
Ste 201
Cary, NC 27518
Phone (919) 476-1118

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20521/brand/1/csg/1/fhir/r4
  • Direct secure messaging: craig.burkhart.1@20521.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1962624478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187425",
            "telephone_number": "919-476-1118",
            "fax_number": "855-878-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PARKWAY OFFICE CT STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187425",
            "telephone_number": "919-476-1118",
            "fax_number": "855-878-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200401477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.burkhart.1@20521.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "135 Parkway Office Ct Ste 201",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.