Active NPI
Michael Patrick O'Rourke, PA-C
- Physician Assistant
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA5914
- Practice address
- 330 Mount Auburn St
Department of Emergency Medicine
Cambridge, MA 02138-5502 - Phone
- (617) 499-5025
- NPI assigned
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5914 | MA | Primary |
Addresses
Primary practice location
330 Mount Auburn St
Department of Emergency Medicine
Cambridge, MA 02138-5502
Mailing address
330 Mount Auburn St
Department of Emergency Medicine
Cambridge, MA 02138-5502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5914 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| Mt Auburn Professional Services | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Current | Accepting new patients | |
| Seattle Children'S Hospital | Past | Accepting new patients |
Locations
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
- morourke175699@direct.seattlechildrens.org
Organizations & group practices 9
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.
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
-
- Emergency Medicine Physician
- Burien, WA
- NPI 1669757290
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Psychiatric Hospital Unit
- Seattle, WA
- NPI 1477622595
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Home Infusion Agency
- Bothell, WA
- NPI 1245383348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1629528435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MOUNT AUBURN ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385502",
"telephone_number": "617-499-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA5914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.