Individual provider Active NPI

Michael J. Burdick, MD

  • Radiation Oncology Physician
  • Seattle, WA
National Provider Identifier
1992974083
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD60170724 Issued in WA
Practice address
201 16TH Ave E
Seattle, WA 98112-5226
Phone
(206) 326-3000
Fax
(877) 515-2975
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD60170724 WA Primary
Radiation Oncology Physician 2085R0001X ME130097 FL

Addresses

Primary practice location

201 16TH Ave E
Seattle, WA 98112-5226

Mailing address

201 16TH Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000

Other practice location 1

3501 Johnson St Fl 1
Hollywood, FL 33021-5421
Phone (954) 265-8000

Other practice location 2

801 N Flamingo Rd Ste 10
Pembroke Pines, FL 33028-1019
Phone (954) 844-9696

Other identifiers 1

IdentifierTypeStateIssuer
019019800MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mburdick157142@MHSDIRECT.NET
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140128001780 CA Practitioner - Radiation Oncology 7517150766 Reassigns benefits to 1 organization
I20170123000341 FL Practitioner - Radiation Oncology 7517150766 Reassigns benefits to 1 organization
I20250925002326 WA Practitioner - Radiation Oncology 7517150766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Virginia Commonwealth University, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
Kaiser Foundation Health Plan of WashingtonGroup PAC ID 9032022579, 1,519 clinicians

Practice addresses (Care Compare)

12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-4325

201 16TH Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000

3501 Johnson St
FL 1
Hollywood, FL 33021-5421
Phone (954) 265-8000

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Radiation Oncology CurrentSince Jan 1, 2014 Accepting new patients
South Broward Hospital District Radiation Oncology CurrentSince Jan 1, 2024 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 1, 2025 Accepting new patients
Mori Bean and Brooks Inc PastSince Apr 1, 2020 Accepting new patients
South Broward Hospital District Past Accepting new patients
Radiology Associates of Hollywood, Inc. Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
South Broward Hospital District PastSince Dec 1, 2023 Accepting new patients
Anthony J Badame MD a Professional Corporation PastSince Sep 1, 2024 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

3501 Johnson St
Fl 1
Hollywood, FL 33021
Phone (954) 265-7750

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

801 N Flamingo Rd
Ste 10
Pembroke Pines, FL 33028
Phone (954) 844-9696

12235 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 265-1125

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

201 16th Ave E
Seattle, WA 98112
Phone (206) 326-4545

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: mburdick157142@mhsdirect.net
  • Direct secure messaging: mburdick4604723@ghc.direct-ci.net

Organizations & group practices 12

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 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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1992974083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 16TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125226",
            "telephone_number": "206-326-3000",
            "fax_number": "877-515-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 16TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125226",
            "telephone_number": "206-326-3000",
            "fax_number": "877-515-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Johnson St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215421",
            "country_code": "US",
            "telephone_number": "954-265-8000",
            "fax_number": "954-276-0471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Flamingo Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281019",
            "country_code": "US",
            "telephone_number": "954-844-9696",
            "fax_number": "954-450-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD60170724",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME130097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019019800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mburdick157142@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "801 N Flamingo Rd Ste 10",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330281019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "201 16th Ave E",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981125226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.