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JAMES A BURKE MD
NPI 1003804980
Internal Medicine - Interventional Cardiology in Allentown, PA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD, SUITE 300, ALLENTOWN, PA 18103(610) 402-3110(610) 402-3112 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Nov 23, 2015 (2 updates tracked since 2015).

About James A Burke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES A BURKE MD (NPI 1003804980) is an individual interventional cardiology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD041928L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Js Weill Medical College, Cornell University (1984).

NPPES Registry Identity

NPI1003804980
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameJAMES A BURKECredential: MD
Location Address1250 S CEDAR CREST BLVD, SUITE 300Allentown, PA 18103-6224
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 402-3110
Fax(610) 402-3112
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1984
Enumeration DateOctober 13, 2005
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1003804980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PA · MD041928L
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD041928L (PA)
1250 S CEDAR CREST BLVD, Allentown, PA 18103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James A Burke Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406752518
PECOS Enrollment IDI20031212000288
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
172 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services69 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
74 services73 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
69 services69 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MARY BOEHMLER MD
Internal Medicine (Critical Care Medicine)
1250 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103
Lehigh County (610) 439-8856
LEHIGH VALLEY PHYSICIAN GROUP
Psychiatry & Neurology (Psychiatry)
1250 S CEDAR CREST BLVD, SUITE 410
ALLENTOWN, PA 18103
Lehigh County (610) 402-3500
VSAS ORTHOPAEDICS PC
Occupational Therapist
1250 S CEDAR CREST BLVD, SUITE 110
ALLENTOWN, PA 18103
Lehigh County (610) 435-1003
MISS LINDSEY R. REYES PA-C
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD, STE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-3110
ANDREW BERNER CRNP
Nurse Practitioner (Family)
1250 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-2273
MR. JAMES BAGLEY PA-C
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD, STE 205
ALLENTOWN, PA 18103
Lehigh County (610) 439-8856
ADAM B. EDWARDS MD
Psychiatry & Neurology (Neurocritical Care)
1250 S CEDAR CREST BLVD, SUITE 405
ALLENTOWN, PA 18103
Lehigh County (610) 402-8420
SORAYA E JIMENEZ M.D.
Psychiatry & Neurology (Epilepsy)
1250 S CEDAR CREST BLVD, SUITE 405
ALLENTOWN, PA 18103
Lehigh County (610) 402-8420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Burke's NPI number?

The NPI number for James Burke is 1003804980. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is James Burke located?

James Burke practices at 1250 S Cedar Crest Blvd Suite 300, Allentown, PA 18103. The listed phone number is (610) 402-3110.

What is James Burke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is James Burke enrolled in Medicare?

Yes. James Burke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Burke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Burke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Burke affiliated with any hospitals?

According to CMS data, James Burke is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for James Burke was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.