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BURKE DERMATOLOGY SC
NPI 1295976256
Dermatology in Evergreen, CO

Active since March 20, 2009CLIA 06D2263780 · Waiver
2942 EVERGREEN PKWY STE 100, EVERGREEN, CO 80439(720) 836-9981(720) 386-9132 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2025, Apr 13, 2022 (2 updates tracked since 2022).

About Burke Dermatology Sc NPPES

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

BURKE DERMATOLOGY SC (NPI 1295976256) is a healthcare organization registered as a dermatology in Evergreen, Colorado and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists William Sean Burke, President, as its authorized official.

NPPES Registry Identity

NPI1295976256
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBURKE DERMATOLOGY SC
Location Address2942 EVERGREEN PKWY STE 100Evergreen, CO 80439-7909
Mailing Address2942 Evergreen Pkwy Ste 100Evergreen, CO 80439-7909 · (720) 836-9981 · Fax (720) 386-9132
Phone(720) 836-9981
Fax(720) 386-9132
Organization SubpartNo
Authorized OfficialWilliam Sean BurkePresident · (720) 836-9981
Enumeration DateMarch 20, 2009
Last NPPES UpdateMay 26, 20252 updates tracked since enumeration
NPPES CertifiedMay 17, 2025
✔ NPI 1295976256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036122682
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2942 EVERGREEN PKWY STE 100, Evergreen, CO 80439
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Other Identifiers 1

Other3932097IL · Blue Cross/blue Shield Of Illinois

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burke Dermatology Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Burke Dermatology Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

William Burke, MD
Dermatology
NPI 1760604276
2942 EVERGREEN PKWY STE 100
Evergreen, CO 80439
(720) 836-9981
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2263780

Burke Dermatology · Evergreen, CO
Active · expires Jul 4, 2028
CLIA Number06D2263780
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorDr. William S. Burke
Laboratory Phone(720) 836-9981
Laboratory LocationBurke Dermatology2942 Evergreen Parkway, Suite 100, Evergreen, CO 80439
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Burke Dermatology Sc's NPI number?

The NPI number for Burke Dermatology Sc is 1295976256. It was assigned to this organization in the NPPES registry on March 20, 2009.

Where is Burke Dermatology Sc located?

Burke Dermatology Sc is located at 2942 Evergreen Pkwy Ste 100, Evergreen, CO 80439. The listed phone number is (720) 836-9981.

What is Burke Dermatology Sc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Burke Dermatology Sc enrolled in Medicare?

Yes. Burke Dermatology Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burke Dermatology Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Burke Dermatology Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Burke Dermatology Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2263780) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Burke Dermatology Sc was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.