Individual provider Active NPI

Mikhail Burakovskiy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
National Provider Identifier
1902895881
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4282 Issued in FL
Practice address
13030 121St Way NE
Suite 204
Kirkland, WA 98034
Phone
(425) 822-7426
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006130 NY
Podiatrist 213E00000X PO00000808 WA
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000808 WA
Foot & Ankle Surgery Podiatrist 213ES0103X PO4282 FL Primary

Addresses

Primary practice location

13030 121St Way NE
Suite 204
Kirkland, WA 98034

Mailing address

13030 121St Way NE
Suite 204
Kirkland, WA 98034
Phone (425) 822-7426

Other practice location 1

1880 N Congress Ave Ste 309
Boynton Beach, FL 33426-8675
Phone (561) 778-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325002632 FL Practitioner - Podiatry 1355376153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Stop Foot and Ankle Care LLCGroup PAC ID 5698112753, 2 clinicians

Practice addresses (Care Compare)

1880 N Congress Ave
Suite 309
Boynton Beach, FL 33426-8675
Phone (561) 778-2100

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as group
Quality
65.39
Promoting interoperability
75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue39
Removal of skin lesions14
Removal of nail tissue796
Removal or shaving of skin growth671
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000808WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Foot and Ankle Care LLC Podiatrist CurrentSince Mar 12, 2024 Accepting new patients
Nina L. Coletta DPM Podiatrist CurrentSince Apr 1, 2025 Accepting new patients
One Stop Foot and Ankle Care LLC Podiatrist CurrentSince Feb 7, 2024 Accepting new patients

Locations

1880 N Congress Ave
Ste 309
Boynton Beach, FL 33426
Phone (561) 733-2388

9685 W Broward Blvd
Plantation, FL 33324
Phone (561) 778-2100

Interoperability endpoints

  • Direct secure messaging: drburakovskiy@osfaacl-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: burakovskiy@ifaacow-wa.direct.office.nextgen.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1902895881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE",
            "address_2": "SUITE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-822-7426",
            "fax_number": "425-827-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 121ST WAY NE",
            "address_2": "SUITE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-822-7426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 N Congress Ave Ste 309",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268675",
            "country_code": "US",
            "telephone_number": "561-778-2100",
            "fax_number": "561-778-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURAKOVSKIY",
        "first_name": "MIKHAIL",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006130",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000808",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000808",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.