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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTOPHER SULLIVAN BOURKE JR. D.P.M.
NPI 1225456361
Podiatrist - Foot & Ankle Surgery in Leesburg, VA

Active since April 05, 2014PECOS EnrolledAccepts Medicare Assignment
19450 DEERFIELD AVE STE 200, LEESBURG, VA 20176(703) 777-3262 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, Jun 5, 2026, May 31, 2021 and 1 more (4 updates tracked since 2018).

About Christopher Sullivan Bourke Jr. D.p.m. NPPES

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

CHRISTOPHER SULLIVAN BOURKE JR. D.P.M. (NPI 1225456361) is an individual foot & ankle surgery provider in Leesburg, Virginia, licensed in Virginia (0103301260) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225456361
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameCHRISTOPHER SULLIVAN BOURKE JR.Credential: D.P.M.
Location Address19450 DEERFIELD AVE STE 200Leesburg, VA 20176-6821
Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704
Phone(703) 777-3262
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 5, 2014
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1225456361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in VA · 0103301260✔ Licensed in PA · SC006559✔ Licensed in CA · E5421
19450 DEERFIELD AVE STE 200, Leesburg, VA 20176
Open in Google Maps ↗

Secondary Practice Location 1

Location 16501 Loisdale CtSpringfield, VA 22150-1826 · Phone (703) 922-1000

Other Identifiers 2

Medicaid30015889120002VA
Medicaid1225456361VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christopher Sullivan Bourke Jr. D.p.m. 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 ID2264721091
PECOS Enrollment IDI20190926003112, I20190930000351, I20200408000590
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Christopher Bourke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Same address
Health Maintenance Organization
19450 DEERFIELD AVE
Lansdowne, VA 20176
NPI 1225156367 (703) 726-2100
Loudoun Medical Group, PC
Same address
Internal Medicine
19450 DEERFIELD AVENUE, SUITE 300
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 291 clinicians in this Medicare group
NPI 1093839599 (703) 858-3220
Sutter Bay Medical Foundation
2,401 mi
Ambulatory Surgical
2581 SAMARITAN DR, SUITE 308
San Jose, CA 95124
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1982845186 (California)
  • 393 clinicians in this Medicare group
NPI 1043654486 (408) 876-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services16 patients

Other Providers at the Same Location NPPES 8

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

MATTHEW BERNARD GAVIN MD
Orthopaedic Surgery
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (571) 209-1875
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (703) 777-3262
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (703) 952-5115
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery (Foot and Ankle Surgery)
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (703) 777-3262
MS. STEPHANIE L MODZELESKY PA-C
Physician Assistant
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (571) 209-1875
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (703) 777-3262
MEGHAN ANNE HEDBLOM PA-C
Physician Assistant
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (571) 209-1875
LOUDOUN MEDICAL GROUP, PC
Orthopaedic Surgery
19450 DEERFIELD AVE STE 200
LEESBURG, VA 20176
Loudoun County (571) 209-1875

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 Christopher Bourke's NPI number?

The NPI number for Christopher Bourke is 1225456361. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Christopher Bourke located?

Christopher Bourke practices at 19450 Deerfield Ave Ste 200, Leesburg, VA 20176. The listed phone number is (703) 777-3262.

What is Christopher Bourke's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Christopher Bourke enrolled in Medicare?

Yes. Christopher Bourke 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.

Which organizations bill Medicare for Christopher Bourke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Bourke reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA), Loudoun Medical Group, PC (Leesburg, VA) and Sutter Bay Medical Foundation (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Bourke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christopher Bourke was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.