Individual provider Active NPI

Helen Carreras-Suchanick, D.O.

  • Family Medicine Physician
  • Dunkirk, NY
National Provider Identifier
1013986256
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225376 Issued in NY
Practice address
19 Lake Shore Dr W
Dunkirk, NY 14048-1513
Phone
(716) 363-6377
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225376 NY Primary

Addresses

Primary practice location

19 Lake Shore Dr W
Dunkirk, NY 14048-1513

Mailing address

50 Alcona Ave
Amherst, NY 14226-2201
Phone (716) 834-1193

Other identifiers 8

IdentifierTypeStateIssuer
00026138803OtherNYUNIVERA
0111474OtherNYINDEPENDENT HEALTH
609263600OtherNYDEPARTMENT OF LABOR
P00161128OtherRAILROAD MEDICARE
000000088116OtherGHI
040804000009OtherNYFIDELIS
000526855003OtherNYBLUE CROSS
02367215MedicaidNY

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
I20031210000067 NY Practitioner - Family PracticePractitioner - Gastroenterology 6204732308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Lake Shore Dr W
Dunkirk, NY 14048-1513
Phone (716) 363-6377

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225376NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C & S Medical BLDG. Inc. Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Fredonia Physical Therapy, PLLC PastSince Jul 1, 2002 Accepting new patients
Chautauqua County Chapter of Nysarc Inc Past Accepting new patients
Buffalo Ultrasound, Idtf Inc PastSince Sep 1, 2006 Accepting new patients

Locations

275 Northpointe Pkwy
Ste 50
Buffalo, NY 14228
Phone (716) 389-3294

19 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 363-6377

50 Alcona Ave
Eggertsville, NY 14226
Phone (716) 834-1193

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1013986256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALCONA AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262201",
            "telephone_number": "716-834-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAKE SHORE DR W",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140481513",
            "telephone_number": "716-363-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS-SUCHANICK",
        "first_name": "HELEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026138803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0111474",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "609263600",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00161128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "000000088116",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040804000009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000526855003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02367215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.