Diane A. Bourke, M.D.
NPI 1124082375ActiveIndividual· Pediatrics, Developmental - Behavioral Pediatrics· Latham, NY
Pediatrics, Developmental - Behavioral Pediatrics (M.D.) in Latham, New York, licensed in NY, with an NPI issued in April 2006.
Overview
| NPI | 1124082375 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 14, 2006 |
| Last updated in NPPES | Jan 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | 173530 | NY |
| Specialist | 174400000X | 173530 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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