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DR. MARK W BURKET M.D.
NPI 1750375887
Internal Medicine - Cardiovascular Disease in Maumee, OH

Active since September 05, 2005PECOS EnrolledAccepts Medicare Assignment
5757 MONCLOVA RD STE 1, MAUMEE, OH 43537(419) 931-0030(419) 931-5411 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Jun 15, 2017, Jul 12, 2016 and 2 more (5 updates tracked since 2015).

About Dr. Mark W Burket M.d. NPPES

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

DR. MARK W BURKET M.D. (NPI 1750375887) is an individual cardiovascular disease provider in Maumee, Ohio, licensed in Ohio (35046181) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Ohio State University College Of Medicine (1979).

NPPES Registry Identity

NPI1750375887
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARK W BURKETCredential: M.D.
Location Address5757 MONCLOVA RD STE 1Maumee, OH 43537-1863
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595
Phone(419) 931-0030
Fax(419) 931-5411
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1979
Enumeration DateSeptember 5, 2005
Last NPPES UpdateJanuary 14, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1750375887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OH · 35046181
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 35.046181 (OH)
5757 MONCLOVA RD STE 1, Maumee, OH 43537
Open in Google Maps ↗

Other Identifiers 1

Medicaid0592130OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Mark W Burket 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 ID1850288259
PECOS Enrollment IDI20040301001120
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 9

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.
170 services131 patients
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.
159 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services30 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Mercy Health - Willard Hospital

Critical Access Hospitals · Willard, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361310
Location1100 Neal Zick RoadWillard, OH 44890 · Huron County
Emergency services

Wyandot Memorial Hospital

Critical Access Hospitals · Upper Sandusky, OH
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361329
Location885 North Sandusky AvenueUpper Sandusky, OH 43351 · Wyandot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 2

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

DR. EHAB AHMED ELTAHAWY MD
Internal Medicine (Interventional Cardiology)
5757 MONCLOVA RD STE 1
MAUMEE, OH 43537
Lucas County (419) 931-0030
GEORGE VICTOR MOUKARBEL M.D.
Internal Medicine (Interventional Cardiology)
5757 MONCLOVA RD STE 1
MAUMEE, OH 43537
Lucas County (419) 931-0030

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 Mark Burket's NPI number?

The NPI number for Mark Burket is 1750375887. It was assigned to this individual provider in the NPPES registry on September 5, 2005.

Where is Mark Burket located?

Mark Burket practices at 5757 Monclova Rd Ste 1, Maumee, OH 43537. The listed phone number is (419) 931-0030.

What is Mark Burket's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Burket enrolled in Medicare?

Yes. Mark Burket is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Burket accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Mark Burket 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.

Is Mark Burket affiliated with any hospitals?

According to CMS data, Mark Burket is affiliated with University Of Toledo Medical Center, Mercy Health - Tiffin Hospital, Mercy St Vincent Medical Center, Mercy Health - Willard Hospital and Wyandot Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Burket was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.