Thomas Peter Birk, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

241738 Issued in NY

Practice address

9559 Main Street
Beaver Falls, NY 13305

Phone

(315) 346-6824

Fax

(315) 346-6868

NPI assigned

Nov 18, 2005

Last updated

Mar 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 12, 2022 through Aug 12, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: tbirk@hiemail.healtheconnections.org

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1245212604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "BEAVER FALLS",
            "state": "NY",
            "postal_code": "133050180",
            "telephone_number": "315-346-6824",
            "fax_number": "315-346-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9559 MAIN STREET",
            "city": "BEAVER FALLS",
            "state": "NY",
            "postal_code": "13305",
            "telephone_number": "315-346-6824",
            "fax_number": "315-346-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "THOMAS",
        "middle_name": "PETER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201197",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "241738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02935822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Karen Bailey, LMSW
• Beaver River Central School
• Alesa Nichole Bernat, M.A., CCC-SLP
• Carthage Area Hospital Inc
• Gregory Michael Dombroski, PA-C, MPAS
• Mahmoud Nasser Hbous, D.D.S
• Lewis County General Hospital
• Lewis County General Hospital

• Family Medicine Physician in Beaver Falls, NY
• Providers in Beaver Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.