Active NPI
Devinderpal Singh Randhawa, MD
- Hematology & Oncology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD61171493
- Practice address
- 462 Grider St
Buffalo, NY 14215-3098 - Phone
- (716) 898-5660
- Fax
- (716) 961-6969
- NPI assigned
- Jun 15, 2006
- Last updated
- Aug 29, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | MD61171493 | WA | |
| Hematology & Oncology Physician | 207RH0003X | MD61171493 | WA | Primary |
| Medical Oncology Physician | 207RX0202X | MD61171493 | WA |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3098
Mailing address
462 Grider St
Buffalo, NY 14215-3098
Phone (716) 898-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321706 | NY | MD | Licensed Practical Nurse |
| MD61171493 | WA | MD | Hematology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Hematology & Oncology | Current | Accepting new patients |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
120 Charles Rollins Rd
Ste 206
Henderson, NC 27536
Phone (252) 433-0430
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
45 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 422-5422
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- devinderpal.randhawa.1@20247.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Buffalo, NY
- NPI 1528233616
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1922768621
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Medical Oncology
- Hematology & Oncology Physician
- Henderson, NC
- NPI 1538561865
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1225072648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153098",
"telephone_number": "716-898-5660",
"fax_number": "716-961-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153098",
"telephone_number": "716-898-5660",
"fax_number": "716-961-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "DEVINDERPAL",
"middle_name": "SINGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "WA",
"license": "MD61171493",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD61171493",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD61171493",
"primary": false
}
],
"identifiers": [],
"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 Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.