Individual provider Active NPI

Maria Orellana-Matta, M.D.

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1245650308
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289763-1 Issued in NY
Practice address
301 Connecticut St
Buffalo, NY 14201
Phone
(716) 862-2572
Fax
(716) 862-2573
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 289763-1 NY Primary

Addresses

Primary practice location

301 Connecticut St
Buffalo, NY 14201

Mailing address

900 Hertel Avenue
Buffalo, NY 14216
Phone (716) 871-1571

Other identifiers 1

IdentifierTypeStateIssuer
04802599MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170821002158 NY Practitioner - Family Practice 1951673292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Practice addresses (Care Compare)

2625 Harlem Rd
Cheektowaga, NY 14225-4031
Phone (716) 891-2570

Hospital & facility affiliations

  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289763-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Aug 1, 2017 Accepting new patients
Kaleida Health CurrentSince Aug 1, 2017 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Kaleida Health Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 26, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 26, 2021 Accepting new patients

Locations

301 Connecticut St
Buffalo, NY 14213
Phone (716) 862-2572

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

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

2625 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2570

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 3

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1245650308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HERTEL AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-871-1571",
            "fax_number": "716-871-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CONNECTICUT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14201",
            "telephone_number": "716-862-2572",
            "fax_number": "716-862-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA-MATTA",
        "first_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "289763-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04802599",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.