Individual provider Active NPI

Andrew A. Pasquale, MD

  • Ophthalmology Physician
  • Orchard Park, NY
National Provider Identifier
1003473497
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
332713 Issued in NY
Practice address
3349 Southwestern Blvd
Orchard Park, NY 14127-1506
Phone
(716) 898-3941
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Ophthalmology Physician 207W00000X 332713 NY Primary

Addresses

Primary practice location

3349 Southwestern Blvd
Orchard Park, NY 14127-1506

Mailing address

PO Box 1068
Getzville, NY 14068-5068
Phone (716) 898-3941

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011001182 NY Practitioner - Ophthalmology 7315274669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew J. Siedlecki, M.D., PCGroup PAC ID 2860457025, 13 clinicians

Practice addresses (Care Compare)

2875 Niagara Falls Blvd
Amherst, NY 14228-2019
Phone (716) 634-8500

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
332713NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J. Siedlecki, M.D., PC Ophthalmology CurrentSince Sep 4, 2024 Accepting new patients
Sunrise Surgery Center LLC CurrentSince Sep 4, 2024 Accepting new patients

Locations

2875 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 634-8500

3349 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 508-0995

170 Maple Rd
Williamsville, NY 14221
Phone (716) 634-4050

Interoperability endpoints

  • Direct secure messaging: apasquale@siedlecki.medentdirect.com
  • Direct secure messaging: apasquale31566@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1003473497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140685068",
            "telephone_number": "716-898-3941",
            "fax_number": "716-634-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271506",
            "telephone_number": "716-898-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALE",
        "first_name": "ANDREW",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "332713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.