Individual provider Active NPI

Andrzej Jozef Burkat, MD

  • Plastic Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1083111462
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
72957 Issued in AZ
Practice address
1020 N San Francisco St Ste 200
Flagstaff, AZ 86001-3281
Phone
(928) 774-2300
Fax
(928) 214-2136
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 72957 AZ Primary

Addresses

Primary practice location

1020 N San Francisco St Ste 200
Flagstaff, AZ 86001-3281

Mailing address

1020 N San Francisco St Ste 200
Flagstaff, AZ 86001-3281
Phone (928) 774-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729003836 AZ Practitioner - Plastic and Reconstructive Surgery 2062761554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 N San Francisco St
Suite 200
Flagstaff, AZ 86001-3281
Phone (928) 774-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision31
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72957AZMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgeons of Northern Arizona, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Plastic Surgeons of Northern Arizona, PLLC Plastic Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

401 S Calvary Way
Ste A
Cottonwood, AZ 86326
Phone (928) 282-3305

1020 N San Francisco St
Flagstaff, AZ 86001
Phone (520) 774-2300

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1020 N San Francisco St
Ste 200
Flagstaff, AZ 86001
Phone (520) 774-2300

1841 E Morrow Ave
Kingman, AZ 86409
Phone (928) 753-4263

Interoperability endpoints

  • Direct secure messaging: aburkat@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1083111462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST STE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-774-2300",
            "fax_number": "928-214-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N SAN FRANCISCO ST STE 200",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013281",
            "telephone_number": "928-774-2300",
            "fax_number": "928-214-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKAT",
        "first_name": "ANDRZEJ",
        "middle_name": "JOZEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "72957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.