MARY C BURKE (M.D.) – Obstetrics & Gynecology Physician, NPI 1508848250

MARY C BURKE (M.D.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD22255 (OR). The NPI Number for MARY C BURKE (M.D.) is 1508848250

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARY C BURKE (M.D.)
NPI
1508848250
Phone
(414) 955-5900
Address
11211 W LINCOLN AVE
Enumeration Date
17 November 2005
Last Update Date
15 August 2012

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4149555990
Graduation Year
1996 (30 years ago)
PAC ID
7810969953
Group Practice PAC ID
3678760063
Professional Enrollment ID
I20090202000196
Address ID
WI532263462WA1155XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

797 OBSTETRICS/GYNECOLOGY in WI

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Provider Addresses for MARY C BURKE (M.D.)

  • Lincoln Avenue Health Center, 11211, West Lincoln Avenue, Root River Estates, West Allis, Milwaukee County, Wisconsin, 53227, United States

    LINCOLN AVENUE CLINIC

    MILWAUKEE, WI 532271035

    Phone: (414) 955-5900

    Fax: (414) 327-1450

    Mailing address matches the actual address.

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: 2009-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20090202000196IObstetrics/GynecologyWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 53227)

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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: 3678760063View full group profile
NameSpecialtyState
-WI
-WI
Diagnostic RadiologyWI
Family Practice, Emergency MedicineWI
P S Y C H I A T R YWI
Internal MedicineWI
-WI
-WI
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

What unique ID ties claims to MARY C BURKE (M.D.)?
NPI 1508848250 is assigned to MARY C BURKE (M.D.) under the national enumeration system.
Does this profile mean MARY C BURKE (M.D.) is currently active?
Yes — MARY C BURKE (M.D.) appears active in the national provider directory.
What kind of provider is MARY C BURKE (M.D.)?
The page reflects Obstetrics & Gynecology Physician for MARY C BURKE (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place MARY C BURKE (M.D.)?
The snapshot lists Milwaukee, Wisconsin for MARY C BURKE (M.D.); download NPPES for the complete set.
Is MARY C BURKE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1508848250. Always confirm identity and privileges with the practice and licensing boards.

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