Active NPI
Stephen Albert Burky, M.D.
- Diagnostic Radiology Physician
- Columbus, OH
National Provider Identifier
1730140963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35.092914
- Practice address
- 420 N James Rd
Department of Radiology
Columbus, OH 43219-1834 - Phone
- (614) 456-6494
- NPI assigned
- Mar 29, 2006
- Last updated
- Jun 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01056329A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 35.092914 | OH | Primary |
Addresses
Primary practice location
420 N James Rd
Department of Radiology
Columbus, OH 43219-1834
Mailing address
420 N James Rd
Department of Radiology
Columbus, OH 43219-1834
Phone (614) 456-6494
Other practice location 1
550 University Blvd
Indiana University Hospital, Dept of Radiology #0279
Indianapolis, IN 46202-5149
Phone (317) 312-0102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056329A | IN | MD | Diagnostic Radiology Physician |
| 35.092914 | OH | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1730140963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191834",
"telephone_number": "614-456-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432191834",
"telephone_number": "614-456-6494"
}
],
"practiceLocations": [
{
"address_1": "550 University Blvd",
"address_2": "Indiana University Hospital, Dept of Radiology #0279",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-312-0102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKY",
"first_name": "STEPHEN",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01056329A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.092914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.