NPIMap

Individual provider Active NPI

Matthew David Burstein, MD, PHD

  • Surgery Physician
  • Buffalo, NY
National Provider Identifier
1386031839
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
303574 Issued in NY
Practice address
100 High St Ofc C377
Buffalo, NY 14203-1154
Phone
(716) 859-1168
NPI assigned
Apr 22, 2015
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57026303 OH
Surgery Physician 208600000X 303574 NY Primary

Addresses

Primary practice location

100 High St Ofc C377
Buffalo, NY 14203-1154

Mailing address

540 Delaware Ave Apt 3G
Buffalo, NY 14202-1331
Phone (954) 461-7413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200923002467 NY Practitioner - General Surgery 0648563858 Reassigns benefits to 2 organizations
I20210820000780 OH Practitioner - General Surgery 0648563858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

960 Clague Rd
Westlake, OH 44145-1586

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux23
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Kaleida Health CurrentSince Aug 1, 2020 Accepting new patients
University at Buffalo Surgeons Inc Surgery CurrentSince Jan 1, 2021 Accepting new patients
Kaleida Health Current Accepting new patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 16, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 16, 2021 Accepting new patients
Kaleida Health CurrentSince Aug 1, 2020 Accepting new patients
Parma Community General Hospital Association Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
Ofc C377
Buffalo, NY 14203
Phone (716) 859-1168

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: mburstein121296@direct.metrohealth.org
  • Direct secure messaging: mburstein37716@ehrdirect.uhhospitals.org

Organizations & group practices 10

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

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1386031839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 DELAWARE AVE APT 3G",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021331",
            "telephone_number": "954-461-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST OFC C377",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031154",
            "telephone_number": "716-859-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTEIN",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57026303",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "303574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.