Active NPI
Raphael Jerome Leo, MD
- Specialist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 185977
- Practice address
- 462 Grider St
Buffalo, NY 14215-3021 - Phone
- (716) 898-4857
- Fax
- (716) 898-3986
- NPI assigned
- Feb 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 185977 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01604737 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York at Buffalo School of Medicine, 1990
- 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) 859-5600
445 Tremont St
North Tonawanda, NY 14120-6150
Phone (716) 694-4500
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
- Erie County Medical Center
- Kaleida Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 80.2
- Improvement activities
- 40
- Cost
- 72.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.06 of 100
- Quality
- 87.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185977 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| North Gate Health Care Facility LLC | Current | Accepting new patients | |
| Seneca Health Care Center LLC | Current | Accepting new patients | |
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| University Psychiatric Practice, Inc | Current | Accepting new patients | |
| Autumn View Health Care Facility LLC | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Harris Hill Nursing Facility, LLC | Current | Accepting new patients | |
| Garden Gate Health Care Facility LLC | Current | Accepting new patients |
Locations
100 High St
#13282
Buffalo, NY 14203
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857
560 Delaware Ave
Rm 400
Buffalo, NY 14202
Phone (716) 324-5100
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
2365 Union Rd
Cheektowaga, NY 14227
Phone (716) 668-8100
455 Cayuga Rd
Ste 200
Cheektowaga, NY 14225
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
7264 Nash Rd
North Tonawanda, NY 14120
Phone (716) 694-7700
2987 Seneca St
West Seneca, NY 14224
Phone (716) 652-1560
2699 Wehrle Dr
Williamsville, NY 14221
Phone (716) 631-8863
Organizations & group practices 11
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Psychiatry Physician
- Buffalo, NY
- NPI 1588743702
-
- Clinic/Center
- Buffalo, NY
- NPI 1528233616
-
- Skilled Nursing Facility
- Cheektowaga, NY
- NPI 1295722460
-
- Skilled Nursing Facility
- Williamsville, NY
- NPI 1013904283
-
- Skilled Nursing Facility
- North Tonawanda, NY
- NPI 1659368827
-
- Skilled Nursing Facility
- West Seneca, NY
- NPI 1003803271
-
- Skilled Nursing Facility
- Hamburg, NY
- NPI 1568459725
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1235155581
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063488062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-4857",
"fax_number": "716-898-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-4857",
"fax_number": "716-898-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "RAPHAEL",
"middle_name": "JEROME",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "185977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01604737",
"state": "NY"
}
],
"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 Jul 8, 2007; 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.