Active NPI
Kristen Calabro, M.D.
- Surgery Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 57019466
- Practice address
- 1001 Main Street
Conventus 5TH Floor
Buffalo, NY 14202 - Phone
- (716) 323-0638
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 57019466 | OH | Primary |
Addresses
Primary practice location
1001 Main Street
Conventus 5TH Floor
Buffalo, NY 14202
Mailing address
1001 Main Street
Conventus 5TH Floor
Buffalo, NY 14202
Phone (716) 323-0638
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57019466 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Surgery | Current | Accepting new patients |
| Stony Brook Anaesthesiology, University Faculty Practice Corporation | Past | Accepting new patients | |
| Stony Brook Children's Service, University Faculty Practice Corporatio | Past | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
500 Commack Rd
Ste 102A
Commack, NY 11725
Phone (631) 638-0130
225 W Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 723-2316
4 Smith Haven Mall
Ste 101
Lake Grove, NY 11755
Phone (631) 444-7337
100 Nicolls Rd
Rm 54
Stony Brook, NY 11794
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
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.
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Pediatrics Physician
- Stony Brook, NY
- NPI 1083660575
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1023392255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN STREET",
"address_2": "CONVENTUS 5TH FLOOR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-323-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN STREET",
"address_2": "CONVENTUS 5TH FLOOR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-323-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALABRO",
"first_name": "KRISTEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57019466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.