Thomas Ray Burdick (NPI# 1003992728, PAC ID# 0547330425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003992728 |
| PAC ID by PECOS | 0547330425 |
| Professional Enrollment ID | I20080604000196 |
| Full Name | Thomas Ray Burdick |
| Organization Legal Name | SANTA FE IMAGING, LLC |
| Address |
1640 Hospital Dr Santa Fe NM 87505-4754 |
| Phone Number | 5059839350 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7012099161 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320002 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
| 320003 | ALTA VISTA REGIONAL HOSPITAL |
| 320011 | PRESBYTERIAN ESPANOLA HOSPITAL |
| 320033 | LOS ALAMOS MEDICAL CENTER |
| 320090 |
| Address | Phone | Organization |
|---|---|---|
| 1640 Hospital Dr, Santa Fe, NM 87505-4754 | 5059839350 | SANTA FE IMAGING, LLC |
| 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 5059839350 | SANTA FE RADIOLOGY P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 52% | |
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 52% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 3% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 3% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 90% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 90% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 94% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 94% |
| Organization Legal Name | SANTA FE IMAGING, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen S Koolpe | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| John Griste | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Margaret L Gallegos | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Jonathan D Lehman | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Kevin D Lee | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Robert W Hastings Iii | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Thaddeus Fu-cheng Sze | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Andrew N Beagle | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Street Address |
1640 HOSPITAL DR |
| City | SANTA FE |
| State | NM |
| Zip | 87505-4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen S Koolpe | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| John Griste | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Margaret L Gallegos | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Jonathan D Lehman | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Kevin D Lee | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Robert W Hastings Iii | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Thaddeus Fu-cheng Sze | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Andrew N Beagle | Diagnostic Radiology | Santa Fe Imaging, LLC | 1640 Hospital Dr, Santa Fe, NM 87505-4754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Jamison | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Sanjay Bardwaj | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Laura K Merrigan | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Nancy C Lehrhaupt | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Candace R Kenyon | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Alyson F Yacono | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Thomas Longley | Family Medicine | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Amy Jelliffe | Psychiatry | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Melinda M Ramirez | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
| Kamasamudram Ravilochan | Neurology | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
| Find all physicians in zip 87505 | |||
| City | SANTA FE |
| Zip Code | 87505 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SANTA FE + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.