Individual provider Active NPI

Katy Irene Burris, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1629242144
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
252141 Issued in NY
Practice address
715 Park Ave Ste 3
New York, NY 10021-5047
Phone
(516) 993-2295
Fax
(646) 809-8895
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 252141 NY Primary

Addresses

Primary practice location

715 Park Ave Ste 3
New York, NY 10021-5047

Mailing address

880 3Rd Ave FL 3
New York, NY 10022-4730
Phone (646) 317-2700

Medicare participation

Medicare enrollment files
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
Yes, effective Aug 30, 2025 through Aug 30, 2027

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

1979 Maqrcus Ave
New Hyde Park, NY 11042-1076

972 Brush Hollow Rd
Westbury, NY 11590-1740

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions182
Skin biopsy102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients
Orbuch, Brand Dermatology Associates LLP Dermatology PastSince May 13, 1997 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kab9184@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1629242144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 3RD AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224730",
            "telephone_number": "646-317-2700",
            "fax_number": "646-317-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PARK AVE STE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215047",
            "telephone_number": "516-993-2295",
            "fax_number": "646-809-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "KATY",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "252141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.