Individual provider Active NPI

Robertus J. Salis, M.D.

  • Pediatrics Physician
  • Niagara Falls, NY
National Provider Identifier
1215238258
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
259122 Issued in NY
Practice address
6937 Williams Rd
Niagara Falls, NY 14304-3022
Phone
(716) 298-1107
Fax
(716) 298-5737
NPI assigned
Nov 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 259122 NY Primary

Addresses

Primary practice location

6937 Williams Rd
Niagara Falls, NY 14304-3022

Mailing address

6937 Williams Rd
Niagara Falls, NY 14304-3022
Phone (716) 298-1107

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
I20110602000637 NY Practitioner - Pediatric Medicine 2163609934 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259122NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince Oct 18, 2025 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Summit Pediatrics, P.C. Pediatrics Past Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Locations

34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

2715 Highland Ave
Niagara Falls, NY 14305
Phone (716) 278-4418

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA

Organizations & group practices 5

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1215238258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6937 WILLIAMS RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043022",
            "telephone_number": "716-298-1107",
            "fax_number": "716-298-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 WILLIAMS RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043022",
            "telephone_number": "716-298-1107",
            "fax_number": "716-298-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIS",
        "first_name": "ROBERTUS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "259122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.