Active NPI
Kristen Lynn Smyers, M.D.
- Gynecology Physician
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 260229
- Practice address
- 10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941 - Phone
- (716) 205-0170
- Fax
- (716) 298-0956
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 260229 | NY | Primary |
Addresses
Primary practice location
10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941
Mailing address
136 Maple Rd
Williamsville, NY 14221-2922
Phone (716) 815-2400
Other practice location 1
9097 Main St
Clarence, NY 14031-1965
Phone (716) 205-0170
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110719000576 | NY | Practitioner - Obstetrics/Gynecology | 8224206271 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Buffalo School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
136 Maple Rd
Williamsville, NY 14221-2922
Phone (716) 815-2400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Legacy Gynecology PLLC | Gynecology | Current | Accepting new patients |
Locations
9097 Main St
Clarence, NY 14031
Phone (716) 222-0297
6440 Transit Rd
Depew, NY 14043
Phone (716) 684-5454
10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170
136 Maple Rd
Williamsville, NY 14221
Phone (716) 632-8124
Interoperability endpoints
- ksmyers@legacygynecology.medentdirect.com
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 and National Provider Directory roles.
-
- Gynecology Physician
- Amherst, NY
- NPI 1598370975
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1063652972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 MAPLE RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212922",
"telephone_number": "716-815-2400",
"fax_number": "716-242-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10175 NIAGARA FALLS BLVD STE 1",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143042941",
"telephone_number": "716-205-0170",
"fax_number": "716-298-0956"
}
],
"practiceLocations": [
{
"address_1": "9097 Main St",
"address_purpose": "LOCATION",
"city": "Clarence",
"state": "NY",
"postal_code": "140311965",
"country_code": "US",
"telephone_number": "716-205-0170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMYERS",
"first_name": "KRISTEN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "260229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.