Active NPI
Ashok Nyalakonda, MD
- Anesthesiology Physician
- Buffalo, NY
National Provider Identifier
1225002405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1383581
- Practice address
- 565 Abbott Rd
Buffalo, NY 14220-2039 - Phone
- (716) 826-6628
- Fax
- (716) 828-3448
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1383581 | NY | Primary |
Addresses
Primary practice location
565 Abbott Rd
Buffalo, NY 14220-2039
Mailing address
515 Abbott Load
Suite 410
Buffalo, NY 14220
Phone (716) 826-6628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01789293 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1383581 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbott Anesthesiologist Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Buffalo, NY
- NPI 1902025513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1225002405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ABBOTT LOAD",
"address_2": "SUITE 410",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-826-6628",
"fax_number": "716-828-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202039",
"telephone_number": "716-826-6628",
"fax_number": "716-828-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYALAKONDA",
"first_name": "ASHOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "1383581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01789293",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.