Individual provider Active NPI

Michael Kevin Burke, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Albany, NY
National Provider Identifier
1639219744
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
206711 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-1550
NPI assigned
Feb 7, 2007
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 206711 NY
Hospitalist Physician 208M00000X 206711 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 206711 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

2 Mercycare Ln
Guilderland, NY 12084-3505
Phone (518) 464-8100

Other practice location 2

2256 Burdett Ave
Troy, NY 12180-2501
Phone (518) 274-9890

Other practice location 3

1 Abele Dr
Clifton Park, NY 12065-2951
Phone (518) 371-1400

Other practice location 4

2920 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 274-4125

Other practice location 5

40 Autumn Dr
Slingerlands, NY 12159-9356
Phone (518) 482-8774

Other practice location 6

421 Columbia St
Cohoes, NY 12047-2217
Phone (518) 238-4152

Other practice location 7

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

Other practice location 8

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20041018000198 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0244290948 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Our Lady of Mercy Life CenterGroup PAC ID 7113943846, 4 clinicians

Practice addresses (Care Compare)

2 Mercycare LN
Guilderland, NY 12084-3505
Phone (518) 464-8100

2256 Burdett Ave
Troy, NY 12180-2501
Phone (518) 274-9890

433 River St
Suite 3000
Troy, NY 12180-2250
Phone (518) 279-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Sep 1, 2020 Accepting new patients
Seton Health at Schuyler Ridge Residential Healthcare CurrentSince Jan 18, 2023 Accepting new patients
Villa Mary Immaculate CurrentSince Apr 2, 2012 Accepting new patients
Capital Region Geriatric Center, Inc. CurrentSince Jan 18, 2023 Accepting new patients
Heritage House Nursing Center, Inc CurrentSince Jan 18, 2023 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Sep 1, 2020 Accepting new patients
Regional Physician Services, PC Geriatric Medicine CurrentSince Nov 1, 2007 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Sep 1, 2020 Accepting new patients
The James a. Eddy Memorial Geriatric Center, Inc. CurrentSince Jan 18, 2023 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Hospitalist CurrentSince Sep 1, 2020 Accepting new patients
Our Lady of Mercy Life Center CurrentSince Jul 26, 2022 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
The Community Hospice Inc PastSince Sep 1, 2020 Accepting new patients

Locations

234 Hudson Ave
Albany, NY 12210

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

317 S Manning Blvd
Ste 100
Albany, NY 12208
Phone (518) 525-1404

1 Abele Dr
Clifton Park, NY 12065
Phone (518) 213-2032

421 Columbia St
Cohoes, NY 12047
Phone (518) 237-5630

2 Mercycare Ln
Guilderland, NY 12084
Phone (518) 464-8100

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

295 Valley View Blvd
Rensselaer, NY 12144
Phone (518) 285-8100

1300 Massachusetts Ave
Fl 5
Troy, NY 12180

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2215 Burdett Ave
Ste 200
Troy, NY 12180
Phone (518) 271-3655

2256 Burdett Ave
Troy, NY 12180
Phone (518) 274-9890

2920 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 274-4125

433 River St
Ste 3000
Troy, NY 12180
Phone (518) 274-6200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eddy Memorial Geriatric CenterTroy, NY, CCN 335680 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020
Eddy Heritage House Nursing and Rehabilitation CenterTroy, NY, CCN 335760 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020
Eddy Village Green CohoesCohoes, NY, CCN 335697 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020
St. Peter's Nursing and Rehabilitation CenterAlbany, NY, CCN 335128 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020
Eddy Village Green at BeverwyckSlingerlands, NY, CCN 335860 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020
NursecoreGuilderland, NY, CCN 335767 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020
NursecoreClifton Park, NY, CCN 335774 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 1, 2020
Sep 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1639219744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Mercycare Ln",
            "address_purpose": "LOCATION",
            "city": "Guilderland",
            "state": "NY",
            "postal_code": "120843505",
            "country_code": "US",
            "telephone_number": "518-464-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2256 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802501",
            "country_code": "US",
            "telephone_number": "518-274-9890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Abele Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652951",
            "country_code": "US",
            "telephone_number": "518-371-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Tibbits Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121807077",
            "country_code": "US",
            "telephone_number": "518-274-4125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Autumn Dr",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "121599356",
            "country_code": "US",
            "telephone_number": "518-482-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472217",
            "country_code": "US",
            "telephone_number": "518-238-4152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Hackett Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081963",
            "country_code": "US",
            "telephone_number": "518-525-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "206711",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "206711",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "206711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP- Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.