Kelly G Burkenstock MD a Professional Medical Corporation
NPI 1639328578 · Internal Medicine Physician · Mandeville, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly G Burkenstock MD a Professional Medical Corporation is a Internal Medicine Physician organization in Mandeville, LA (NPI 1639328578).
Provider details
- NPI number
- 1639328578
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Burkenstock, President(985) 727-7676
- License
- MD.023319 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2022-07-19
- Certified
- 2021-05-26
Frequently asked questions
- What is Kelly G Burkenstock MD a Professional Medical Corporation's NPI number?
- Kelly G Burkenstock MD a Professional Medical Corporation's National Provider Identifier (NPI) is 1639328578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly G Burkenstock MD a Professional Medical Corporation?
- Kelly G Burkenstock MD a Professional Medical Corporation is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly G Burkenstock MD a Professional Medical Corporation located?
- Kelly G Burkenstock MD a Professional Medical Corporation's practice location on file with NPPES is 2040 N Causeway Blvd, Mandeville, LA 70471-3116.
- What is Kelly G Burkenstock MD a Professional Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Kelly G Burkenstock MD a Professional Medical Corporation is (985) 727-7676.
- Does Kelly G Burkenstock MD a Professional Medical Corporation accept Medicare?
- Kelly G Burkenstock MD a Professional Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kelly G Burkenstock MD a Professional Medical Corporation?
- The authorized official listed on Kelly G Burkenstock MD a Professional Medical Corporation's NPPES record is Kelly Burkenstock, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly G Burkenstock MD a Professional Medical Corporation's NPI active?
- Yes — Kelly G Burkenstock MD a Professional Medical Corporation's NPI (1639328578) is active in the NPPES registry as of the last update on 2022-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.