Active NPI
Michael Anthony Ando, RN, CRNA
- Certified Registered Nurse Anesthetist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 687675
- Practice address
- 3495 Bailey Ave
Buffalo, NY 14215-1129 - Phone
- (716) 834-9200
- NPI assigned
- Dec 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 687675 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 687675 | NY | Primary |
Addresses
Primary practice location
3495 Bailey Ave
Buffalo, NY 14215-1129
Mailing address
314 Commonwealth Ave
Buffalo, NY 14216-1839
Phone (716) 510-5481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610001689 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8527468693 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687675 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northtowns Ambulatory Surgery Center, LLC | Current | Accepting new patients | |
| Parkside Medical Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Buffalo Surgery Center LLC | Current | Accepting new patients |
Locations
3921 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6520
3871 Harlem Rd
Ste 202
Buffalo, NY 14215
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
111 N Maplemere Rd
Williamsville, NY 14221
Phone (716) 713-4310
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Williamsville, NY
- NPI 1073384855
NY
-
- Anesthesiology Physician
- Buffalo, NY
- NPI 1871537464
Nurse Anesthetist, Certified Registered, NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1023657012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 COMMONWEALTH AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142161839",
"telephone_number": "716-510-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151129",
"telephone_number": "716-834-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-23",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "687675",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "687675",
"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 Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.