NPIMap

Individual provider Active NPI

Dacia Anastacia Harris, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1215324181
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
294046-1 Issued in NY
Practice address
900 Hertel Ave
Buffalo, NY 14216-2611
Phone
(716) 871-1571
NPI assigned
Apr 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 294046-1 NY Primary

Addresses

Primary practice location

900 Hertel Ave
Buffalo, NY 14216-2611

Mailing address

900 Hertel Ave
Buffalo, NY 14216-2611

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
I20180625002293 NY Practitioner - Internal Medicine 1254686728 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

6400 Powers Rd
Orchard Park, NY 14127-4841
Phone (914) 843-9637

Hospital & facility affiliations

  • Niagara Hospice Inc Hospice, Lockport, NY, CCN 331530
  • Hospice Buffalo Inc Hospice, Cheektowaga, NY, CCN 331502
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Elderwood at Wheatfield Nursing home, Niagara Falls, NY, CCN 335790
  • St Catherine Laboure Health Care Center Nursing home, Buffalo, NY, CCN 335419
  • Lockport Rehab & Health Care Center Nursing home, Lockport, NY, CCN 335573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294046-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Sep 1, 2018 Accepting new patients
Partners Medical Group, PLLC CurrentSince Mar 17, 2024 Accepting new patients
Physician Mobile Medical Care PC Internal Medicine CurrentSince Dec 4, 2025 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2018 Accepting new patients
Mobile Physician Services PLLC CurrentSince Dec 4, 2025 Accepting new patients
Kaleida Health Current Accepting new patients
Care Connect Medical P.C. Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Rosa Coplon Jewish Home and Infirmary Past Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients
2600 Niagara Falls Boulevard Operating Company LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

1031 Michigan Ave
Buffalo, NY 14203
Phone (716) 686-8460

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

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

100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822

2235 Millersport Hwy
Getzville, NY 14068
Phone (716) 504-1000

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

6400 Powers Rd
Orchard Park, NY 14127
Phone (716) 667-0001

Organizations & group practices 13

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.

View all 13

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1215324181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HERTEL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162611",
            "telephone_number": "716-871-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DACIA",
        "middle_name": "ANASTACIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294046-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.