Individual provider Active NPI

Michele M Carr, DDS,MD,PHD

  • Otolaryngology Physician
  • Buffalo, NY
National Provider Identifier
1174589352
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD421761 Issued in PA
Practice address
Cishei Childrens Out Patient Center
1001 Main St 3Rd Floor
Buffalo, NY 14203
Phone
(716) 323-6030
Fax
(716) 323-6671
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD421761 PA Primary

Addresses

Primary practice location

Cishei Childrens Out Patient Center
1001 Main St 3Rd Floor
Buffalo, NY 14203

Mailing address

Cishei Childrens Out Patient Center
1001 Main St 3Rd Floor
Buffalo, NY 14203
Phone (716) 323-6030

Other identifiers 1

IdentifierTypeStateIssuer
0019546130001MedicaidPA

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
I20191115001852 NY Practitioner - Otolaryngology 4082809991 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Jun 1, 2025 Accepting new patients
University at Buffalo Otolaryngology, Inc. Otolaryngology CurrentSince Oct 8, 2019 Accepting new patients
Kaleida Health CurrentSince Jun 1, 2025 Accepting new patients
Kaleida Health Current Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health Past Accepting new patients

Locations

1237 Delaware Ave
Buffalo, NY 14209
Phone (716) 362-9585

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

1001 Main St
Fl 3
Buffalo, NY 14203
Phone (716) 323-6030

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

8207 Main St
Ste 5
Williamsville, NY 14221
Phone (716) 245-4431

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1174589352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CISHEI CHILDRENS OUT PATIENT CENTER",
            "address_2": "1001 MAIN ST 3RD FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-323-6030",
            "fax_number": "716-323-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CISHEI CHILDRENS OUT PATIENT CENTER",
            "address_2": "1001 MAIN ST 3RD FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-323-6030",
            "fax_number": "716-323-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "DDS,MD,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD421761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019546130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.