Active NPI
Jeremy Paul Doak, M.D.
- Orthopaedic Surgery Physician
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 274278
- Practice address
- 4949 Harlem Rd
Amherst, NY 14226-2500 - Phone
- (716) 204-3251
- Fax
- (716) 204-3269
- NPI assigned
- Jul 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PENDING | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 14215 | RI | |
| Orthopaedic Surgery Physician | 207X00000X | 274278 | NY | Primary |
Addresses
Primary practice location
4949 Harlem Rd
Amherst, NY 14226-2500
Mailing address
5500 Main St
Suite 107
Williamsville, NY 14221-6755
Phone (716) 906-5908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Florida College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5959 Big Tree Rd
Orchard Park, NY 14127-2210
Phone (716) 204-3200
Hospital & facility affiliations
- Kenmore Mercy Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.69 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| University Orthopaedic Services Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| University Orthopaedic Services, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
4225 Genesee St
Cheektowaga, NY 14225
Phone (716) 829-6123
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593
5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997
111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997
5500 Main St
Ste 107
Williamsville, NY 14221
Phone (716) 906-5908
Interoperability endpoints
- jdoak@ubortho.medentdirect.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Cheektowaga, NY
- NPI 1578599866
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1528209962
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1003071234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MAIN ST",
"address_2": "SUITE 107",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216755",
"telephone_number": "716-906-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 HARLEM RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262500",
"telephone_number": "716-204-3251",
"fax_number": "716-204-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAK",
"first_name": "JEREMY",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "PENDING",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "RI",
"license": "14215",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "274278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.