Active NPI
Ryan J Elnicki, MD
- Student in an Organized Health Care Education/Training Program
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 77 Goodell St Ste 340
Buffalo, NY 14203-1243 - Phone
- (716) 645-9707
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
77 Goodell St Ste 340
Buffalo, NY 14203-1243
Mailing address
77 Goodell St Ste 340
Buffalo, NY 14203-1243
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250527001423 | NY | Practitioner - Emergency Medicine | 3779002464 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600
Hospital & facility affiliations
- Mount St. Mary'S Hospital & Health Center
- Brooks-TLC Hospital System, Inc
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Emergency Medical Services Inc. | Current | Accepting new patients | |
| Ub Family Medicine, Inc | Current | Accepting new patients |
Locations
77 Goodell St
Ste 340
Buffalo, NY 14203
Phone (716) 645-9700
2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
NY
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1285375006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 GOODELL ST STE 340",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 GOODELL ST STE 340",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031243",
"telephone_number": "716-645-9707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELNICKI",
"first_name": "RYAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 5, 2022; 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.