Active NPI
Saikat Pal
- Pediatric Emergency Medicine (Pediatrics) Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 249663
- Practice address
- 219 Bryant St
Buffalo, NY 14222-2006 - Phone
- (716) 878-7000
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 249663 | NY | Primary |
Addresses
Primary practice location
219 Bryant St
Buffalo, NY 14222-2006
Mailing address
675 Delaware Ave
Apt # 309
Buffalo, NY 14209-2200
Other practice location 1
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5150
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spal342741@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Current | Accepting new patients | |
| Shadow Emergency Physicians PLLC | Current | Accepting new patients | |
| Pokroy Medical Group of Nevada, LTD. | Current | Accepting new patients | |
| Commonwealth Emergency Physicians PC | Past | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Past | Accepting new patients |
Locations
770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628
3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
Organizations & group practices 5
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.
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- NPI 1992809412
-
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- Las Vegas, NV
- NPI 1184795874
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- Physician Assistant
- Leesburg, VA
- NPI 1366061574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1235399650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 DELAWARE AVE",
"address_2": "APT # 309",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7000"
}
],
"practiceLocations": [
{
"address_1": "1775 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681143",
"country_code": "US",
"telephone_number": "847-723-5150",
"fax_number": "847-723-2083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAL",
"first_name": "SAIKAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "249663",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spal342741@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.