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KELLY JEAN BURKE
NPI 1356915607
Pediatrics - Pediatric Cardiology in Ann Arbor, MI

Active since May 19, 2021PECOS Enrolled
1540 E HOSPITAL DR # 11-205, ANN ARBOR, MI 48109(734) 936-4038 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Sep 1, 2022, May 19, 2021 (3 updates tracked since 2021).

About Kelly Jean Burke NPPES

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

KELLY JEAN BURKE (NPI 1356915607) is an individual pediatric cardiology provider in Ann Arbor, Michigan, licensed in Michigan (4301511225) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356915607
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKELLY JEAN BURKE
Location Address1540 E HOSPITAL DR # 11-205Ann Arbor, MI 48109-4000
Mailing Address1540 E Hospital Dr # 11-205Ann Arbor, MI 48109-4000 · (734) 764-5176
Phone(734) 936-4038
Sole ProprietorNo
Enumeration DateMay 19, 2021
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1356915607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4301511225
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1540 E HOSPITAL DR # 11-205, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Other Providers at the Same Location NPPES

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

JAMILEH ABU-ALI
Pediatrics (Pediatric Cardiology)
1540 E HOSPITAL DR # 11-205
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4038

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 Kelly Burke's NPI number?

The NPI number for Kelly Burke is 1356915607. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Kelly Burke located?

Kelly Burke practices at 1540 E Hospital Dr # 11-205, Ann Arbor, MI 48109. The listed phone number is (734) 936-4038.

What is Kelly Burke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kelly Burke enrolled in Medicare?

Yes. Kelly Burke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Burke was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.