NPIMap

Individual provider Active NPI

Briana Victoria Hodge, PA-C

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1174384697
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
031237-01 Issued in NY
Practice address
501 Kenmore Ave
Buffalo, NY 14223-2864
Phone
(716) 768-4636
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 031237-01 NY Primary

Addresses

Primary practice location

501 Kenmore Ave
Buffalo, NY 14223-2864

Mailing address

501 Kenmore Ave
Buffalo, NY 14223-2864
Phone (716) 768-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313001179 NY Practitioner - Physician Assistant 2567808561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Katherine J Frachetti MD PCGroup PAC ID 2062700792, 5 clinicians

Practice addresses (Care Compare)

501 Kenmore Ave
Buffalo, NY 14223-2864
Phone (716) 768-4636

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
031237NYMDOral and Maxillofacial Surgery (Dentist)
031237-01NYMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: bhodge@evhealth.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1174384697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232864",
            "telephone_number": "716-768-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232864",
            "telephone_number": "716-768-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "BRIANA",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "031237-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.