NPIMap

Individual provider Active NPI

Edward A Stehlik Sr., M.D., F.A.C.P.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1245292192
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
138324 Issued in NY
Practice address
1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone
(716) 874-2150
Fax
(716) 874-6765
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 138324 NY Primary

Addresses

Primary practice location

1783 Colvin Blvd
Buffalo, NY 14223-1107

Mailing address

1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone (716) 874-2150

Other identifiers 1

IdentifierTypeStateIssuer
647470MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000900 NY Practitioner - Internal Medicine 3971492299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northtowns Medical Group, P.C.Group PAC ID 9234142837, 5 clinicians

Practice addresses (Care Compare)

1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone (716) 874-2150

Hospital & facility affiliations

  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Hospice Buffalo Inc Hospice, Cheektowaga, NY, CCN 331502
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
138324NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenmore Mercy Hospital CurrentSince Apr 1, 2010 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Northtowns Medical Group, P.C. Internal Medicine CurrentSince Oct 26, 1988 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital CurrentSince Apr 1, 2010 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

1783 Colvin Blvd
Buffalo, NY 14223
Phone (716) 874-2150

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

Interoperability endpoints

  • Direct secure messaging: estehlik@nmg.medentdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 12

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1245292192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231107",
            "telephone_number": "716-874-2150",
            "fax_number": "716-874-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231107",
            "telephone_number": "716-874-2150",
            "fax_number": "716-874-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHLIK",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "M.D., F.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "647470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.