Active NPI
Lola J Burke, MD
- Addiction Medicine (Psychiatry & Neurology) Physician
- Kingwood, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 25293
- Practice address
- 428 Morgantown St Ste 1
Kingwood, WV 26537-1140 - Phone
- (304) 329-7124
- Fax
- (304) 329-7092
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25293 | WV | |
| Family Medicine Physician | 207Q00000X | 39113 | SC | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 25293 | WV | Primary |
Addresses
Primary practice location
428 Morgantown St Ste 1
Kingwood, WV 26537-1140
Mailing address
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400
Other practice location 1
1189 Tibwin Rd
Mc Clellanville, SC 29458-9405
Phone (843) 887-3274 ext. 101
Other practice location 2
2287 S Mountaineer Hwy
Thornton, WV 26440-7171
Phone (304) 265-6963
Other practice location 3
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400
Other practice location 4
1 Hospital Plz
Grafton, WV 26354-1283
Phone (304) 265-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810027539 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140908000722 | WV | Practitioner - Family Practice | 0244458131 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grafton City Hospital, Inc.Preston Memorial Hospital Corporation
Practice addresses (Care Compare)
1 Hospital PLZ
Grafton, WV 26354-1283
Phone (304) 265-7406
2287 S Mountaineer Hwy
Thornton, WV 26440-7171
Phone (304) 265-6963
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39113 | SC | MD | Family Medicine Physician |
| 25293 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grafton City Hospital Inc | Current | Accepting new patients | |
| Preston Memorial Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Preston Memorial Hospital Corporation | Current | Accepting new patients | |
| Grafton City Hospital Inc | Current | Accepting new patients | |
| Grafton City Hospital Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1 Hospital Plz
Grafton, WV 26354
Phone (304) 265-0400
428 Morgantown St
Ste 1
Kingwood, WV 26537
Phone (304) 329-7124
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
2287 S Mountaineer Hwy
Thornton, WV 26440
Phone (304) 265-6963
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/grafton-33215f04
- https://fhir-usa.unify.chbase.com/org/preston-adacdb24
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Kingwood, WV
- NPI 1841230661
Family Medicine, WV
-
- Rural Health Clinic/Center
- Grafton, WV
- NPI 1336200344
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1972897684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MEMORIAL DR",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265371141",
"telephone_number": "304-329-1400",
"fax_number": "304-329-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 MORGANTOWN ST STE 1",
"city": "KINGWOOD",
"state": "WV",
"postal_code": "265371140",
"telephone_number": "304-329-7124",
"fax_number": "304-329-7092"
}
],
"practiceLocations": [
{
"address_1": "1189 Tibwin Rd",
"address_purpose": "LOCATION",
"city": "Mc Clellanville",
"state": "SC",
"postal_code": "294589405",
"country_code": "US",
"telephone_number": "843-887-3274 x101",
"fax_number": "843-887-3817",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2287 S Mountaineer Hwy",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "WV",
"postal_code": "264407171",
"country_code": "US",
"telephone_number": "304-265-6963",
"fax_number": "304-265-6961",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "WV",
"postal_code": "265371141",
"country_code": "US",
"telephone_number": "304-329-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Plz",
"address_purpose": "LOCATION",
"city": "Grafton",
"state": "WV",
"postal_code": "263541283",
"country_code": "US",
"telephone_number": "304-265-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "LOLA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "25293",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "39113",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "WV",
"license": "25293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810027539",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.