Active NPI
Stephanie L Soehnlein, M.D.
- Diagnostic Radiology Physician
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 264892
- Practice address
- 3900 N Buffalo St
Orchard Park, NY 14127-1842 - Phone
- (716) 630-1112
- Fax
- (716) 631-1178
- NPI assigned
- Dec 4, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 264892 | NY | Primary |
Addresses
Primary practice location
3900 N Buffalo St
Orchard Park, NY 14127-1842
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03572492 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | production@direct.buffalomedicalgroup.com |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264892 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Southtowns Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ultramobile Imaging Inc | Current | Accepting new patients | |
| Quality Medical Imaging of Arizona, Inc | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Southtowns Radiology Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700
3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 631-2517
6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666
295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
Interoperability endpoints
- production@direct.buffalomedicalgroup.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- Diagnostic Radiology Physician
- Hamburg, NY
- NPI 1295779072
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Rochester, NY
- NPI 1770600876
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Phoenix, AZ
- NPI 1417124637
-
- Diagnostic Radiology Physician
- Hamburg, NY
- NPI 1629108063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1144558057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 N BUFFALO ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271842",
"telephone_number": "716-630-1112",
"fax_number": "716-631-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOEHNLEIN",
"first_name": "STEPHANIE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-04",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "264892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03572492",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "production@direct.buffalomedicalgroup.com",
"affiliation": "N",
"address_1": "3900 N Buffalo St",
"city": "Orchard Park",
"state": "NY",
"country_code": "US",
"postal_code": "141271842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.