Active NPI
Michael Grant O'Rourke, PA-C
- Physician Assistant
- Niskayuna, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019765
- Practice address
- 2125 River Rd Ste 303
Niskayuna, NY 12309-1136 - Phone
- (518) 213-6910
- Fax
- (518) 213-6915
- NPI assigned
- Jun 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 019765 | NY | |
| Physician Assistant | 363A00000X | 019765 | NY | Primary |
Addresses
Primary practice location
2125 River Rd Ste 303
Niskayuna, NY 12309-1136
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
Other practice location 1
211 Church St Ste 1
Saratoga Springs, NY 12866-1003
Phone (518) 587-3222
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: No
Enrollment records 1
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)
1708 Altamount Ave
Schenectady, NY 12303-2137
Phone (518) 344-4778
445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566
4942 State Hwy 30
Suite 100
Amsterdam, NY 12010-7520
Phone (518) 627-6336
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
211 Church St
#1
Saratoga Springs, NY 12866
Phone (518) 583-8304
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
Interoperability endpoints
- michaelorourke@ccp.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- Urgent Care Clinic/Center
- Malta, NY
- NPI 1700159613
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
-
- Community/Retail Pharmacy
- Saratoga Springs, NY
- NPI 1164148110
-
- Family Medicine Physician
- Saratoga SPGS, NY
- NPI 1881924322
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1851742332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 RIVER RD STE 303",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123091136",
"telephone_number": "518-213-6910",
"fax_number": "518-213-6915"
}
],
"practiceLocations": [
{
"address_1": "211 Church St Ste 1",
"address_purpose": "LOCATION",
"city": "Saratoga Springs",
"state": "NY",
"postal_code": "128661003",
"country_code": "US",
"telephone_number": "518-587-3222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'ROURKE",
"first_name": "MICHAEL",
"middle_name": "GRANT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "019765",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niskayuna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.