Active NPI
Karl-Dietrich Max Gustav Sievert
- Urology Physician
- Cheektowaga, NY
National Provider Identifier
1083251680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 297583
- Practice address
- 3085 Harlem Rd Ste 200
Cheektowaga, NY 14225-2591 - Phone
- (716) 844-5000
- Fax
- (716) 844-5750
- NPI assigned
- Dec 3, 2019
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 297583 | NY | Primary |
Addresses
Primary practice location
3085 Harlem Rd Ste 200
Cheektowaga, NY 14225-2591
Mailing address
3085 Harlem Rd Ste 350
Cheektowaga, NY 14225-2591
Phone (716) 844-5600
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1083251680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 HARLEM RD STE 350",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252591",
"telephone_number": "716-844-5600",
"fax_number": "716-844-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 HARLEM RD STE 200",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252591",
"telephone_number": "716-844-5000",
"fax_number": "716-844-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEVERT",
"first_name": "KARL-DIETRICH",
"middle_name": "MAX GUSTAV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "297583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.