Individual provider Active NPI

Jacob Chenez, DO

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1013479039
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
317033 Issued in NY
Practice address
111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3181
Phone
(716) 836-4646
Fax
(716) 836-4696
NPI assigned
Apr 1, 2019
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 317033 NY Primary

Addresses

Primary practice location

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3181

Mailing address

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3181
Phone (716) 836-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240530001892 PA Practitioner - Diagnostic Radiology 8426381260 Reassigns benefits to 2 organizations
I20250117000902 NY Practitioner - Diagnostic Radiology 8426381260 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Radiology Associates LLCGroup PAC ID 3072402296, 27 clinicians
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians
Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians
Bradford Radiology PCGroup PAC ID 5890198840, 21 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 332-8078

111 N Maplemere Rd
Suite 120
Williamsville, NY 14221-3178
Phone (716) 836-4646

116 Interstate Pkwy
Bradford, PA 16701-1036
Phone (814) 368-4143

1221 Main St
Niagara Falls, NY 14301-1115
Phone (716) 278-5021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean Medical Practice PLLC Current Accepting new patients
Western New York Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Sep 8, 2025 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Sep 8, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Bradford Radiology PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
General Physician, PC CurrentSince Jun 1, 2025 Accepting new patients
Great Lakes Medical Imaging LLC Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
University Radiology at Buffalo, Inc. Diagnostic Radiology Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

535 Main St
Olean, NY 14760
Phone (716) 372-0141

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

111 N Maplemere Rd
Ste 120
Williamsville, NY 14221
Phone (716) 836-4646

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: jchenez58170@upmc.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1013479039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213181",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213181",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENEZ",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "317033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.