NPIMap

Individual provider Active NPI

Michael Bourla, M.D.

  • Nephrology Physician
  • Saratoga Springs, NY
National Provider Identifier
1417376013
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
383734 Issued in NY
Practice address
6 Care LN
Saratoga Springs, NY 12866-8651
Phone
(518) 581-1415
NPI assigned
Apr 10, 2014
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 383734 NY Primary

Addresses

Primary practice location

6 Care LN
Saratoga Springs, NY 12866-8651

Mailing address

1430 Tulane Ave.
SL-50
New Orleans, LA 70112-2699
Phone (504) 988-7809

Other practice location 1

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 587-3222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202002795 NY Practitioner - NephrologyPractitioner - Internal Medicine 8426343252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians
Saratoga Regional Medical , P.CGroup PAC ID 9032438544, 23 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8343

59 Myrtle St
Saratoga Springs, NY 12866-1027
Phone (518) 587-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.72
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
383734NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Aug 6, 2020 Accepting new patients
Saratoga Hospital Internal Medicine CurrentSince Aug 6, 2020 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Aug 6, 2020 Accepting new patients
Saratoga Regional Medical , P.C Nephrology Current Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

59C Myrtle St
Saratoga Springs, NY 12866
Phone (518) 587-1919

6 Care Ln
Saratoga Springs, NY 12866
Phone (518) 581-1415

Interoperability endpoints

  • Direct secure messaging: mbourla97378@albanymed.direct-ci.com

Organizations & group practices 6

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1417376013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE.",
            "address_2": "SL-50",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122699",
            "telephone_number": "504-988-7809",
            "fax_number": "504-988-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CARE LN",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668651",
            "telephone_number": "518-581-1415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661003",
            "country_code": "US",
            "telephone_number": "518-587-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURLA",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "383734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.