Individual provider Active NPI

Pallavi Kour

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1215615323
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403803 Issued in NY
Practice address
320 Porter Ave
Buffalo, NY 14201-1032
Phone
(716) 949-6010
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403803 NY Primary

Addresses

Primary practice location

320 Porter Ave
Buffalo, NY 14201-1032

Mailing address

54 Rosewood Dr
Buffalo, NY 14221-1536
Phone (716) 949-6010

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416001729 NY Practitioner - Nurse Practitioner 9739528357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanvir Shagar NP in Family Health PLLCGroup PAC ID 1658775606, 4 clinicians

Practice addresses (Care Compare)

273 Ridge Rd
Buffalo, NY 14218-1222
Phone (716) 929-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
403803NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jotno Family Health Nurse Practitioner PLLC CurrentSince Apr 15, 2024 Accepting new patients
Tanvir Shagar NP in Family Health PLLC Psychiatric/Mental Health CurrentSince Apr 15, 2024 Accepting new patients

Organizations & group practices 2

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1215615323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ROSEWOOD DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142211536",
            "telephone_number": "716-949-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PORTER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011032",
            "telephone_number": "716-949-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUR",
        "first_name": "PALLAVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.