DR. JOHANNA BURKE M.D.
NPI 1629331616
Psychiatry & Neurology - Neurology in Medford, MA

Q: What is Johanna Burke's NPI number?

The NPI number for Johanna Burke is 1629331616. It was assigned to this individual provider in the NPPES registry on June 25, 2012. The provider is also known as Johanna Nino Gomez M.D..

Q: What is Johanna Burke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Burke was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment

26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5463(781) 306-5015 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Mar 27, 2025, Oct 15, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Johanna Burke M.d. NPPES

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

DR. JOHANNA BURKE M.D. (NPI 1629331616) is an individual neurology provider in Medford, Massachusetts, licensed in Massachusetts (258207) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1629331616

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JOHANNA BURKECredential: M.D.

Location Address26 CITY HALL MALLMedford, MA 02155-4754

Mailing Address26 City Hall MallMedford, MA 02155-4754 · (781) 306-5463 · Fax (781) 306-5015

Phone(781) 306-5463

Fax(781) 306-5015

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 25, 2012

Last NPPES UpdateMay 1, 20265 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1629331616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MA · 258207

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

26 CITY HALL MALL, Medford, MA 02155

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Other Names 1

Former Name (1)Johanna Nino Gomez M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Johanna Burke M.d. 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 ID3870710734

PECOS Enrollment IDI20140818000187

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.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

190 services77 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

59 services25 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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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.

MARTHA B. BARGMANN CCC-SLP

Speech-Language Pathologist