Active NPI
Karin Eva Burkhard, MD
- Psychiatry Physician
- Smithtown, NY
National Provider Identifier
1013071323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 168146
- Practice address
- 994 W Jericho Tpke
Suite 202
Smithtown, NY 11787-3235 - Phone
- (631) 864-9200
- Fax
- (631) 864-9201
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 168146 | NY | Primary |
Addresses
Primary practice location
994 W Jericho Tpke
Suite 202
Smithtown, NY 11787-3235
Mailing address
PO Box 403
Islip Terrace, NY 11752-0403
Phone (631) 224-7192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160620001543 | NY | Order and Referring Only - Psychiatry | 6507844669 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168146 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013071323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403",
"city": "ISLIP TERRACE",
"state": "NY",
"postal_code": "117520403",
"telephone_number": "631-224-7192",
"fax_number": "631-326-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "994 W JERICHO TPKE",
"address_2": "SUITE 202",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873235",
"telephone_number": "631-864-9200",
"fax_number": "631-864-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARD",
"first_name": "KARIN",
"middle_name": "EVA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "168146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.