Maria Jerevasimeonova, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

001001 Issued in NY

Practice address

10175 Niagara Falls Blvd Ste 1
Niagara Falls, NY 14304-2941

Phone

(716) 298-0975

Fax

(716) 298-0956

NPI assigned

Nov 15, 2005

Last updated

Apr 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount St. Marys Hospital of Niagara FallsGroup PAC ID 4082523790, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
• McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
• Niagara Hospice Inc Hospice, Lockport, NY, CCN 331530
• Mount St. Mary's Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
• Direct secure messaging: mjerevasimeonova20369@direct.chsbuffalo.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mount St. Mary's Hospital of Niagara Falls

  dba Mount St. Mary's Hospital and Health Center

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Medicare reassignment Care Compare group NPD
• Frank R. Laurri, M.D. & Associates, P.C.

  • Internal Medicine Physician
  • Niagara Falls, NY
  • NPI 1548305519
  Medicare reassignment NPD
• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Medicare reassignment NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment NPD
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Medicare reassignment NPD
• Eastern Great Lakes Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
  • NPI 1467481564
  NPD
• Frank R. Laurri, M.D. & Associates, P.C.

  • Registered Nurse
  • Niagara Falls, NY
  • NPI 1902563646
  NPD
• Kenmore Mercy Hospital

  dba Kenmore Mercy Professional Services

  • Pulmonary Disease Physician
  • Kenmore, NY
  • NPI 1659909752
  NPD
• Mercy Hospital of Buffalo

  • Rehabilitation Hospital Unit
  • Buffalo, NY
  • NPI 1659310605
  NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  NPD
• Sisters of Charity Hospital of Buffalo New York

  dba Sisters of Charity Professional Services

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1568090660
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McAuley Seton Home Care Corporation

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1699772343
  Care Compare affiliation
• Mount St. Mary's Hospital of Niagara Falls

  dba Mount St. Mary's Hospital and Health Center

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Care Compare affiliation
• Niagara Hospice, Inc.

  • Community Based Hospice Care Agency
  • Lockport, NY
  • NPI 1477652113
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation
• Visiting Nursing Association of Western New York, Inc.

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1730268384
  Care Compare affiliation

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1285616425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 NIAGARA FALLS BLVD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042941",
            "telephone_number": "716-298-0975",
            "fax_number": "716-298-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 NIAGARA FALLS BLVD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042941",
            "telephone_number": "716-298-0975",
            "fax_number": "716-298-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREVASIMEONOVA",
        "first_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayaselvi Kolli MD PC (Aum OB Gyn Associates)
• Robert Theodore Jenkins, D.D.S.
• Theodore John Jenkins, DDS
• Jennifer Kavanagh Mental Health Counselor, PLLC
• Janice Jenosheck
• Abihirami Jeyarajan
• Robin Jindal
• Kelly Marie Jocoy, OTR/L
• Joel H Paull DDS MD PC
• Antonio Demetrius Johnson Jr., A.T.,C.

• Family Medicine Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.

Verify at the official NPI Registry.