Active NPI
Enrique M Bursztyn, MD
- Diagnostic Radiology Physician
- Tucumcari, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2016-0635
- Practice address
- 301 E Miel de Luna Ave
Tucumcari, NM 88401-3810 - Phone
- (800) 841-4236
- NPI assigned
- Mar 21, 2006
- Last updated
- Jul 21, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 01063267A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 145707-1 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 01063267A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | MD2016-0635 | NM | Primary |
Addresses
Primary practice location
301 E Miel de Luna Ave
Tucumcari, NM 88401-3810
Mailing address
PO Box 3212
Indianapolis, IN 46206-3212
Phone (800) 841-4236
Other practice location 1
520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 882-6717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.28 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 77.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01063267A | IN | MD | Diagnostic Radiology Physician |
| 145707-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Albuquerque, PA | Diagnostic Radiology | Current | Accepting new patients |
| Northfield Imaging Center PA | Diagnostic Radiology | Past | Accepting new patients |
| Yonkers Imaging PC | Diagnostic Radiology | Past | Accepting new patients |
| Regional Radiology Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Center LLP | Past | Accepting new patients | |
| Magnetic Diagnostic Resources of Central New York, LLP | Past | Accepting new patients | |
| Advanced Imaging LLC | Past | Accepting new patients | |
| Cortland Memorial Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800
700 Lomas Blvd NE
Albuquerque, NM 87102
Phone (505) 242-1711
301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba High Resolution
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558416974
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
-
dba Albuquerque Imaging Center
- Body Imaging Physician
- Albuquerque, NM
- NPI 1851363972
-
- Diagnostic Radiology Physician
- Cortland, NY
- NPI 1871552554
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- East Syracuse, NY
- NPI 1831196054
-
- Radiology Clinic/Center
- East Syracuse, NY
- NPI 1538153671
-
dba Northfield Imaging Center
- Diagnostic Radiology Physician
- West Orange, NJ
- NPI 1003800277
-
- Diagnostic Radiology Physician
- Bradford, PA
- NPI 1396714622
-
dba Inter-County Imaging
- Diagnostic Radiology Physician
- Yonkers, NY
- NPI 1023002201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669431367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3212",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063212",
"telephone_number": "800-841-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E MIEL DE LUNA AVE",
"city": "TUCUMCARI",
"state": "NM",
"postal_code": "884013810",
"telephone_number": "800-841-4236"
}
],
"practiceLocations": [
{
"address_1": "520 S 7th St",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "475911038",
"country_code": "US",
"telephone_number": "812-882-6717",
"fax_number": "812-882-8620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURSZTYN",
"first_name": "ENRIQUE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IN",
"license": "01063267A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "145707-1",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01063267A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2016-0635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucumcari, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.