CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1225456361

CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) is a healthcare provider. based in Springfield, Virginia. specializing in PODIATRY, GENERAL SURGERY. They hold the professional credentials D.P.M.. They hold a License No. SC006559 (PA). The NPI Number for CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) is 1225456361

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.)
NPI
1225456361
Phone
Not provided
Address
6501 LOISDALE CT
Enumeration Date
5 April 2014
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5712526000
Graduation Year
2014 (12 years ago)
PAC ID
2264721091
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20200408000590
Address ID
VA201476988AS43480DRXX301

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateway
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:12State licenses:3Other names

433 PODIATRY in VA

Provider Addresses for CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.)

  • 6501 LOISDALE CT

    SPRINGFIELD, VA 221501826

    Phone:

    Type: Mailing

  • 2350 W EL CAMINO REAL FL 2

    MOUNTAIN VIEW, CA 940406203

    Phone:

    Type: Mailing

  • 701 E EL CAMINO REAL

    MOUNTAIN VIEW, CA 94040

    Phone: (650) 934-7090

    Type: Location

  • 224D CORNWALL ST NW STE 403

    LEESBURG, VA 201762704

    Phone:

    Type: Mailing

  • 19450 DEERFIELD AVE STE 200

    LEESBURG, VA 201766821

    Phone: (703) 777-3262

    Type: Location

  • 6501 Loisdale Ct

    Springfield, VA 221501826

    Phone: (703) 922-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180808002728IPodiatryCATBD
I20190926003112IPodiatryMDTBD
I20190930000351IPodiatryDCTBD
I20200408000590IPodiatryVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 22150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779495858View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.)'s NPI?
Yes. CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) is listed with NPI 1225456361 in the public NPI dataset.
Can I rely on CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) being an active provider?
As of the registry snapshot, CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) is marked active.
What healthcare role does CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) hold?
Scheduling teams often label CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) under Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What area does CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) serve?
CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.)'s listing highlights Springfield, Virginia; more addresses can appear in NPPES.
Is the information about CHRISTOPHER SULLIVAN JR. BOURKE (D.P.M.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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