Active NPI
Maria Orellana-Matta, M.D.
- Family Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 289763-1
- 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
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 | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04802599 | Medicaid | NY |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2625 Harlem Rd
Cheektowaga, NY 14225-4031
Phone (716) 891-2570
Hospital & facility affiliations
- McAuley Seton Home Care Corp Chha
- Sisters of Charity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289763-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | 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 | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | 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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1568090660
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1699772343
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.