Individual provider Active NPI

Zakariya Tarek Kashour, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
National Provider Identifier
1033785258
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2157 Main St 5TH Floor
CHS Internal Medicine Training Program
Buffalo, NY 14214
Phone
(716) 862-1423
Fax
(716) 862-1871
NPI assigned
May 28, 2021
Reactivated
Apr 6, 2023
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2157 Main St 5TH Floor
CHS Internal Medicine Training Program
Buffalo, NY 14214

Mailing address

119600 26 Ave SW T6W 4P5
#317
Edmonton, AB T6W 4P5
CA

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
I20240808000775 NY Practitioner - Internal MedicinePractitioner - Hospitalist 2062959034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Medicine Services, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

2157 Main St
Fl 5
Buffalo, NY 14214
Phone (716) 862-1423

4498 Main St
Ste 23
Buffalo, NY 14226

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1033785258",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "119600 26 AVE SW T6W 4P5",
            "address_2": "#317",
            "city": "EDMONTON",
            "state": "AB",
            "postal_code": "T6W 4P5"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST 5TH FLOOR",
            "address_2": "CHS INTERNAL MEDICINE TRAINING PROGRAM",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14214",
            "telephone_number": "716-862-1423",
            "fax_number": "716-862-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHOUR",
        "first_name": "ZAKARIYA",
        "middle_name": "TAREK",
        "name_prefix": "Mr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "deactivation_date": "2022-11-28",
        "reactivation_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.