NPIMap

Individual provider Active NPI

Vivien Leah Redeye, MD

  • Family Medicine Physician
  • Fredonia, NY
National Provider Identifier
1275820441
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60276182 Issued in NY
Practice address
3780 Eagle St
Fredonia, NY 14063-9410
Phone
(716) 672-3030
Fax
(716) 338-1567
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 88402 SC
Family Medicine Physician 207Q00000X 60276182 NY Primary
Family Medicine Physician 207Q00000X 88402 SC

Addresses

Primary practice location

3780 Eagle St
Fredonia, NY 14063-9410

Mailing address

103 Allen St
Jamestown, NY 14701-6968
Phone (716) 338-0022

Other practice location 1

216 E Main St
Westfield, NY 14787-1133
Phone (716) 326-3240

Other practice location 2

987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894

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
I20141015001619 NY Practitioner - Family Practice 5597986679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seneca Nation of IndiansGroup PAC ID 8123920592, shared by 5 NPIs, 29 clinicians

Practice addresses (Care Compare)

987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60276182NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Nation of Indians CurrentSince Aug 5, 2024 Accepting new patients
Seneca Nation of Indians CurrentSince Aug 5, 2024 Accepting new patients
Seneca Nation of Indians Past Accepting new patients
Maria Rita Andaya M.D.,PLLC Past Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

987 R C Hoag Dr
Salamanca, NY 14779
Phone (716) 945-5894

Interoperability endpoints

  • Direct secure messaging: vredeye@fhms.medentdirect.com
  • Direct secure messaging: vredeye962514@direct.ahn.org

Organizations & group practices 4

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 8

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1275820441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ALLEN ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016968",
            "telephone_number": "716-338-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 EAGLE ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140639410",
            "telephone_number": "716-672-3030",
            "fax_number": "716-338-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NY",
            "postal_code": "147871133",
            "country_code": "US",
            "telephone_number": "716-326-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "987 R C Hoag Dr",
            "address_purpose": "LOCATION",
            "city": "Salamanca",
            "state": "NY",
            "postal_code": "147791365",
            "country_code": "US",
            "telephone_number": "716-945-5894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDEYE",
        "first_name": "VIVIEN",
        "middle_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-09-17",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "88402",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60276182",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "88402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

Verify at the official NPI Registry.