KENYATTA L BURDEN P.A.
NPI 1447357512
Physician Assistant in Syracuse, NY

Q: What is Kenyatta Burden's NPI number?

The NPI number for Kenyatta Burden is 1447357512. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Kenyatta Burden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenyatta Burden was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

736 IRVING AVE, SYRACUSE, NY 13210(315) 470-7111 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenyatta L Burden P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYATTA L BURDEN P.A. (NPI 1447357512) is an individual physician assistant in Syracuse, New York, licensed in New York (011506) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1447357512

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENYATTA L BURDENCredential: P.A.

Location Address736 IRVING AVESyracuse, NY 13210-1687

Mailing Address4181 Antler LnLiverpool, NY 13090-6818 · (315) 652-5290

Phone(315) 470-7111

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 20, 2006

Last NPPES UpdateFebruary 18, 2010

✔ NPI 1447357512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 011506

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

736 IRVING AVE, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenyatta L Burden P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234226655

PECOS Enrollment IDI20071101000491

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRENE S BORJA FNP-BC

Nurse Practitioner (Family)