Individual provider Active NPI

Richard D Blondell, MD

  • Family Medicine Physician
  • Amherst, NY
National Provider Identifier
1255324547
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
146100 Issued in NY
Practice address
1408 Sweet Home Rd Ste 9
Amherst, NY 14228-2783
Phone
(716) 247-5281
Fax
(716) 204-0670
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 146100 NY
Family Medicine Physician 207Q00000X 146100 NY Primary

Addresses

Primary practice location

1408 Sweet Home Rd Ste 9
Amherst, NY 14228-2783

Mailing address

1408 Sweet Home Rd Ste 9
Amherst, NY 14228-2783
Phone (716) 247-5281

Other practice location 1

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Other identifiers 1

IdentifierTypeStateIssuer
02364616MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Practice Assoc. PSC Family Medicine Past Accepting new patients
University of Louisville Research Foundation Family Medicine Past Accepting new patients
University Orthopaedic Departmental Entity Inc Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255324547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SWEET HOME RD STE 9",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282783",
            "telephone_number": "716-247-5281",
            "fax_number": "716-204-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SWEET HOME RD STE 9",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282783",
            "telephone_number": "716-247-5281",
            "fax_number": "716-204-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153021",
            "country_code": "US",
            "telephone_number": "716-898-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLONDELL",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "146100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "146100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02364616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.