Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael David Skroupa

Individual provider Physician Assistant · NPI 1780198804

Michael David Skroupa is a Physician Assistant in Troy, New York. Qualified in 2017, 9 years ago. Practices with Ellis Hospital, a 252-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2215 Burdett Ave
Troy, NY 12180-2466
Phone: (518) 271-3300
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Northern Blvd, Albany, NY 12204-1004 — (518) 471-3221
  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021520 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 021520-1 (NY)

Record details

NPI number1780198804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 28, 2017
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing addressPo Box 14890, Albany, NY 12212-4890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Troy