Individual provider Active NPI

Richard Vienne, MD

  • Internal Medicine Physician
  • Amherst, NY
National Provider Identifier
1033181755
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185775 Issued in NY
Practice address
1185 Sweet Home Rd
Amherst, NY 14226-1018
Phone
(716) 689-0040
Fax
(716) 568-2334
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 185775 NY Primary

Addresses

Primary practice location

1185 Sweet Home Rd
Amherst, NY 14226-1018

Mailing address

120 Gardenville Pkwy W
Attn: Credentialing
West Seneca, NY 14224-1324
Phone (716) 857-6150

Other identifiers 6

IdentifierTypeStateIssuer
000000112388OtherNYGHI HMO #
00010183703OtherNYUNIVERA #
185775-4BOtherNYWORKERS COMP #
0408395OtherNYIHA #
160635BJOtherNYPREFERRED CARE #
000511942006OtherNYHEALTH NOW BCBS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185775NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Medicine Services, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1033181755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GARDENVILLE PKWY W",
            "address_2": "ATTN: CREDENTIALING",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241324",
            "telephone_number": "716-857-6150",
            "fax_number": "716-656-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261018",
            "telephone_number": "716-689-0040",
            "fax_number": "716-568-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIENNE",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO #",
            "identifier": "000000112388",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA #",
            "identifier": "00010183703",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP #",
            "identifier": "185775-4B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA #",
            "identifier": "0408395",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE #",
            "identifier": "160635BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW BCBS #",
            "identifier": "000511942006",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.