Active NPI
Andrew Koroschetz
- Physician Assistant
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 023341
- Practice address
- 5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291 - Phone
- (716) 422-5677
- NPI assigned
- Feb 26, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 023341 | NY | Primary |
Addresses
Primary practice location
5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291
Mailing address
PO Box 488
Buffalo, NY 14240-0488
Phone (716) 852-4772
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3460
40 George Karl Blvd
Suite 200
Amherst, NY 14221-7183
Phone (716) 218-1000
5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 218-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.78 of 100
- Quality
- 87.1
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 86.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023341 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Neurosurgery, Inc. | Current | Accepting new patients | |
| University at Buffalo Neurosurgery, Inc. | Current | Accepting new patients | |
| Ub Family Medicine, Inc | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677
40 George Karl Blvd
Ste 200
Williamsville, NY 14221
Phone (716) 200-1800
Interoperability endpoints
- akoroschetz@ubns.medentdirect.com
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Williamsville, NY
- NPI 1306896220
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
dba UBMD Primary Care
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Specialist
- Niagara Falls, NY
- NPI 1295287662
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1033676044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142400488",
"telephone_number": "716-852-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 BIG TREE RD STE 102",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272291",
"telephone_number": "716-422-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOROSCHETZ",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-26",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "023341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.