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JOHN JACKSON BURK D.O.
NPI 1407216716
Pediatrics in Tulsa, OK

Active since February 29, 2016PECOS Enrolled
717 S HOUSTON AVE STE 400, TULSA, OK 74127(918) 382-4600(918) 382-3183 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2019, Apr 2, 2019, Mar 3, 2016 (3 updates tracked since 2016).

About John Jackson Burk D.o. NPPES

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

JOHN JACKSON BURK D.O. (NPI 1407216716) is an individual pediatrics provider in Tulsa, Oklahoma, licensed in Idaho (O-1210) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407216716
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN JACKSON BURKCredential: D.O.
Location Address717 S HOUSTON AVE STE 400Tulsa, OK 74127-9007
Mailing Address717 S Houston Ave Ste 400Tulsa, OK 74127-9007 · (918) 382-4600 · Fax (918) 382-3183
Phone(918) 382-4600
Fax(918) 382-3183
Sole ProprietorNo
Enumeration DateFebruary 29, 2016
Last NPPES UpdateApril 17, 20193 updates tracked since enumeration
✔ NPI 1407216716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · O-1210
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
717 S HOUSTON AVE STE 400, Tulsa, OK 74127
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Jackson Burk D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show John Burk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Luke's Clinic LLC
1,083 mi
Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 clinicians in this Medicare group
NPI 1790718229 (208) 814-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74127 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

DR. BINH THAI PHUNG D.O.
Pediatrics
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 382-4600
DR. TAYLOR SNYDER DO
Student in an Organized Health Care Education/Training Program
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 382-4600
MARIE KELLY MAUHAR DO
Student in an Organized Health Care Education/Training Program
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 382-4600
ANDREW PAUL POLITO D.O.
Internal Medicine (Pulmonary Disease)
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 631-8130
JOHN FRANCO A CARABELLO DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 582-7711
ARASH KARNAMA D.O.
Internal Medicine (Interventional Cardiology)
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 582-7711
SHANE S. YAMANE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 582-7711
MRS. HEATHER DAWN RECTOR D.O.
Pediatrics
717 S HOUSTON AVE STE 400
TULSA, OK 74127
Osage County (918) 382-4600

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 John Burk's NPI number?

The NPI number for John Burk is 1407216716. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is John Burk located?

John Burk practices at 717 S Houston Ave Ste 400, Tulsa, OK 74127. The listed phone number is (918) 382-4600.

What is John Burk's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Burk enrolled in Medicare?

Yes. John Burk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Burk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Burk reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). The 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 John Burk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Burk accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list John Burk 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.

When was this NPI record last updated?

The NPPES record for John Burk was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.