Individual provider Active NPI

Anthony Paul Salvatore Burdo, MD

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1619590387
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
325556 Issued in NY
Practice address
182 Breckenridge St
Buffalo, NY 14213-1562
Phone
(716) 881-6191
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 325556 NY Primary

Addresses

Primary practice location

182 Breckenridge St
Buffalo, NY 14213-1562

Mailing address

182 Breckenridge St
Buffalo, NY 14213-1562
Phone (716) 881-6191

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911002082 NY Practitioner - Family Practice 6305200262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jericho Road Ministries, Inc.Group PAC ID 5597992933, 33 clinicians

Practice addresses (Care Compare)

184 Barton St
Buffalo, NY 14213-1573
Phone (716) 348-3000

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325556NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jericho Road Ministries Inc. CurrentSince Sep 1, 2023 Accepting new patients
Jericho Road Ministries, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Kaleida Health Past Accepting new patients
Kaleida Health Past Accepting new patients

Locations

184 Barton St
Buffalo, NY 14213
Phone (716) 348-3000

182 Breckenridge St
Buffalo, NY 14213
Phone (716) 348-3011

Interoperability endpoints

  • Direct secure messaging: anthony.burdo@jrchc.medentdirect.com

Organizations & group practices 4

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1619590387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 BRECKENRIDGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131562",
            "telephone_number": "716-881-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BRECKENRIDGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131562",
            "telephone_number": "716-881-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDO",
        "first_name": "ANTHONY",
        "middle_name": "PAUL SALVATORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "325556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.