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SHANE PATRICK BURKE
NPI 1568996320
Psychiatry & Neurology - Psychiatry in Peoria, IL

Active since April 18, 2017Opted out of Medicare · through Jun 30, 2027
81.54/100
CMS Quality Rating
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 495-1640 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Patrick Burke NPPES

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

SHANE PATRICK BURKE (NPI 1568996320) is an individual psychiatry provider in Peoria, Illinois, licensed in Illinois (0.36.150948) and active in the NPI registry since April 2017. He has opted out of Medicare through June 30, 2027.

NPPES Registry Identity

NPI1568996320
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSHANE PATRICK BURKE
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001
Mailing Address900 Main St, Suite 720Peoria, IL 61602-1005
Phone(309) 495-1640
Sole ProprietorYes
Enumeration DateApril 18, 2017
Last NPPES UpdateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1568996320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 0.36.150948
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
221 NE GLEN OAK AVE, Peoria, IL 61636
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shane Patrick Burke has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 30, 2023 through June 30, 2027.

Opt-Out Effective DateJune 30, 2023
Opt-Out In Effect ThroughJune 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.35
Improvement Activities40
Cost100

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.

BRYCE HAMAMOTO
Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
RIAZ SHAH MD
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Peoria County (309) 672-5729
CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5700
MIHAILO NIKOLIC
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5654
WAQAS ALI MD
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
ANNE LOOK APN
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
DR. KENNETH STRUM M.D.
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 369-1761
DR. ANDREW BRIAN ARMSTRONG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-4920

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 Shane Burke's NPI number?

The NPI number for Shane Burke is 1568996320. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Shane Burke located?

Shane Burke practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 495-1640.

What is Shane Burke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shane Burke enrolled in Medicare?

No. Shane Burke has opted out of Medicare through June 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shane Burke was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.