Individual provider Active NPI

Mary Louise Lenahan, MD

  • Procedural Dermatology Physician
  • East Amherst, NY
National Provider Identifier
1144216953
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
153446-1 Issued in NY
Practice address
6507 Transit Rd
East Amherst, NY 14051-1427
Phone
(716) 689-4377
Fax
(716) 689-4843
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 153446-1 NY Primary

Addresses

Primary practice location

6507 Transit Rd
East Amherst, NY 14051-1427

Mailing address

6507 Transit Rd
East Amherst, NY 14051-1427
Phone (716) 689-4377

Other identifiers 3

IdentifierTypeStateIssuer
0301329OtherNYIHA
000500619001OtherNYBCBS OF WNY
00010102801OtherNYUNIVERA

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
I20080107000584 NY Practitioner - Dermatology 4981784709 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Buffalo, NY; E Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Lenahan Dermatology PLLCGroup PAC ID 0143574608, 7 clinicians

Practice addresses (Care Compare)

6507 Transit Rd
Suite a
East Amherst, NY 14051-1427
Phone (716) 689-4377

Merit-based Incentive Payment System (MIPS)

Final score
70.06 of 100Reported as group
Quality
40.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions632
Skin biopsy282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153446-1NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lenahan Dermatology PLLC CurrentSince Sep 22, 2018 Accepting new patients
Gaddi Family Medicine PLLC Past Accepting new patients
Mary Louise Lenahan Procedural Dermatology PastSince Jan 1, 1990 Accepting new patients

Locations

2900 Main St
Buffalo, NY 14214
Phone (716) 689-4377

6507 Transit Rd
East Amherst, NY 14051
Phone (716) 689-4377

6507 Transit Rd
#A
East Amherst, NY 14051
Phone (716) 689-4377

Interoperability endpoints

  • Direct secure messaging: mlenahan@directaddress.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1144216953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-689-4377",
            "fax_number": "716-689-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-689-4377",
            "fax_number": "716-689-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENAHAN",
        "first_name": "MARY LOUISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "153446-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0301329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000500619001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010102801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.