Individual provider Active NPI

Michael Charles Burke, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1962761742
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036142961 Issued in IL
Practice address
676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone
(312) 695-3755
NPI assigned
May 14, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036142961 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978

Mailing address

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978

Other practice location 1

2150 Pennsylvania Avenue , NW
The GW Medical Faculty Associates
Washington, DC 20037
Phone (202) 741-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171002001344 IL Practitioner - Diagnostic Radiology 5092080028 Reassigns benefits to 10 organizations
I20230901002912 MO Practitioner - Diagnostic Radiology 5092080028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Crawford Hospital DistrictGroup PAC ID 7719898071, shared by 8 NPIs, 71 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
County of ClayGroup PAC ID 0042101982, 77 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400

1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-5600

2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1956
Phone (309) 671-8282

345 E Ohio St
Apt 4707
Chicago, IL 60611-4575
Phone (219) 767-6320

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

4800 Maine St
Quincy, IL 62305-5875
Phone (217) 224-6423

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036142961ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Feb 1, 2023 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Feb 1, 2023 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
County of Clay CurrentSince Aug 1, 2025 Accepting new patients
County of Clay CurrentSince Aug 1, 2025 Accepting new patients
Crawford Hospital District CurrentSince Oct 8, 2023 Accepting new patients
Crawford Hospital District CurrentSince Oct 8, 2023 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Dec 28, 2025 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Aug 28, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 28, 2017 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 28, 2025 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Dec 28, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jul 31, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Dec 28, 2025 Accepting new patients
County of Clay Current Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Crawford Hospital District Current Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology CurrentSince Feb 5, 2024 Accepting new patients

Locations

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Dept 5777
Carol Stream, IL 60122

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

2000 Spring Rd
Ste 200
Oak Brook, IL 60523
Phone (630) 472-8810

205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

1005 Broadway St
Quincy, IL 62301

4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444

927 Broadway St
Ste 132
Quincy, IL 62301

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

7600 W Tidwell Rd
Ste 103
Houston, TX 77040

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962761742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112978",
            "telephone_number": "312-695-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Avenue , NW",
            "address_2": "The GW Medical Faculty Associates",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20037",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036142961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.