Individual provider Active NPI

Devinderpal Singh Randhawa, MD

  • Hematology & Oncology Physician
  • Buffalo, NY
National Provider Identifier
1225072648
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD61171493 Issued in WA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161107000001 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8325045792 Reassigns benefits to 1 organization
I20230615003008 NY Practitioner - Hematology/Oncology 8325045792 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
321706NYMDLicensed Practical Nurse
MD61171493WAMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jul 1, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 4, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC Hematology & Oncology CurrentSince Aug 1, 2016 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Aug 1, 2016 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 4, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.