Individual provider Active NPI

James Steven Burkhart, M.D.

  • Obstetrics & Gynecology Physician
  • Penfield, NY
National Provider Identifier
1720150618
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
155511 Issued in NY
Practice address
21 Willow Pond Way Ste 100
Penfield, NY 14526-2687
Phone
(585) 641-0399
Fax
(585) 641-0388
NPI assigned
Nov 15, 2006
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 155511 NY Primary

Addresses

Primary practice location

21 Willow Pond Way Ste 100
Penfield, NY 14526-2687

Mailing address

21 Willow Pond Way Ste 100
Penfield, NY 14526-2687
Phone (585) 697-3201

Other practice location 1

408 N Main St
Warsaw, NY 14569-1015
Phone (585) 786-1560

Other practice location 2

990 South Ave Ste 200
Rochester, NY 14620-2740
Phone (585) 232-3210 ext. 315

Other identifiers 1

IdentifierTypeStateIssuer
00955844MedicaidNY

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
I20120314000307 NY Practitioner - Obstetrics/Gynecology 5092974857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Valley Obstetrics and Gynecology PCGroup PAC ID 1951326719, 7 clinicians

Practice addresses (Care Compare)

21 Willow Pond Way
Suite 100
Penfield, NY 14526-2687
Phone (585) 641-0399

990 S Ave
Suite 200
Rochester, NY 14620-2740
Phone (585) 232-3210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Jan 1, 2018 Accepting new patients
Genesee Valley Obstetrics & Gynecology, P.C. CurrentSince Jul 1, 1989 Accepting new patients

Locations

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

21 Willow Pond Way
Ste 100
Penfield, NY 14526
Phone (585) 641-0399

990 South Ave
Ste 200
Rochester, NY 14620
Phone 5852323210 ext. 315

Interoperability endpoints

  • Direct secure messaging: drjsburkhart@gvogobgyn.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Highland Hospital of RochesterRochester, NY, CCN 330164 Hospital Corporate Director Oct 1, 2013

Owned or controlled facilities with NPI records 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1720150618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-697-3201",
            "fax_number": "585-641-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-641-0399",
            "fax_number": "585-641-0388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 N Main St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691015",
            "country_code": "US",
            "telephone_number": "585-786-1560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 South Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202740",
            "country_code": "US",
            "telephone_number": "585-232-3210 x315",
            "fax_number": "585-641-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "JAMES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "155511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00955844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.