MICHAEL BOURLA M.D. – NPI #1417376013
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MICHAEL BOURLA is a physician located in SARATOGA SPRINGS, NY. NPPES has assigned the NPI number 1417376013 to MICHAEL BOURLA on April 10, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Feb 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BOURLA below.

NPI Profile for
MICHAEL BOURLA

NPI Number
1417376013
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL BOURLA
Credentials
M.D.
Primary location
6 CARE LN
SARATOGA SPRINGS, NY 12866-8651
Phone: (518) 581-1415 Fax:
1 Other location(s):
211 Church St
Saratoga Springs, NY 12866-1003
Phone: (518) 587-3222
Mailing address
1430 TULANE AVE.
SL-50
NEW ORLEANS, LA 70112-2699
Phone: (504) 988-7809 Fax: (504) 988-3971
Sole Proprietor
Yes
Updated
Certification Date
Feb 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 NY 383734

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL BOURLA is affiliated with the following medical group(s):
  • HOSPITAL
    • GLENS FALLS HOSPITAL
      100 PARK STREET
      GLENS FALLS, NY 12801
    • SARATOGA HOSPITAL
      211 CHURCH STREET
      SARATOGA SPRINGS, NY 12866
    • ST PETER'S HOSPITAL
      315 SOUTH MANNING BOULEVARD
      ALBANY, NY 12208
  • DIALYSIS FACILITY
    • DCI - RUBIN DIALYSIS CENTERS - SARATOGA SPRINGS
      59C MYRTLE AVENUE
      SARATOGA SPRINGS, NY 12866
    • DCI GLENS FALLS
      3 BROAD ST
      GLENS FALLS, NY 12801

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