Individual provider Active NPI

Lola J Burke, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Kingwood, WV
National Provider Identifier
1972897684
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
25293 Issued in WV
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

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810027539MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000722 WV Practitioner - Family PracticePractitioner - Addiction Medicine 0244458131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
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.Group PAC ID 7719897263, shared by 4 NPIs, 17 clinicians
Preston Memorial Hospital CorporationGroup PAC ID 5294645107, shared by 3 NPIs, 46 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
39113SCMDFamily Medicine Physician
25293WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grafton City Hospital Inc CurrentSince Apr 1, 2025 Accepting new patients
Preston Memorial Hospital Corporation Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Oct 1, 2019 Accepting new patients
Grafton City Hospital Inc CurrentSince Apr 1, 2025 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/grafton-33215f04
  • FHIR API: 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.

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

Verify at the official NPI Registry.