NPIMap

Individual provider Active NPI

Sandra L Everett, M.D.

  • Ophthalmology Physician
  • Cheektowaga, NY
National Provider Identifier
1174634976
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
182462-1 Issued in NY
Practice address
4245 Union Rd
Cheektowaga, NY 14225
Phone
(716) 839-0881
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 182462-1 NY Primary

Addresses

Primary practice location

4245 Union Rd
Cheektowaga, NY 14225

Mailing address

4245 Union Rd Ste 105
Cheektowaga, NY 14225-5040
Phone (716) 634-4175

Other identifiers 1

IdentifierTypeStateIssuer
01422742MedicaidNY

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
I20040520000882 NY Practitioner - Ophthalmology 3577554385 Reassigns benefits to 1 organization
Practice locations: Cheektowaga, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Ophthalmology Services IncGroup PAC ID 6103888441, 17 clinicians

Practice addresses (Care Compare)

301 Sterling Dr
Orchard Park, NY 14127-1570
Phone (716) 677-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.41 of 100Reported as group
Quality
85.08
Promoting interoperability
95
Improvement activities
40
Cost
78.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182462-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NK Optical, LLC Ophthalmology PastSince Sep 27, 2006 Accepting new patients
Buffalo Niagara Retina Associates, PC PastSince Feb 1, 2009 Accepting new patients
Maria D. Bruno, M.D. LLC Ophthalmology PastSince Jun 1, 2015 Accepting new patients
Fichte-Endl & Elmer Eye Surgery, PC Ophthalmology PastSince Jul 23, 2001 Accepting new patients
Fichte, Endl & Elmer Eye Surgery PC Past Accepting new patients

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.

Hospital & facility affiliations 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1174634976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 UNION RD STE 105",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255040",
            "telephone_number": "716-634-4175",
            "fax_number": "716-634-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-839-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "182462-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.