Individual provider Active NPI

Hunter Azdel Gomez Roberts, MD

  • Maternal & Fetal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1295072601
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
292965-1 Issued in NY
Practice address
818 Ellicott St
Buffalo, NY 14203
Phone
(716) 323-2000
NPI assigned
Jan 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 292965-1 NY Primary

Addresses

Primary practice location

818 Ellicott St
Buffalo, NY 14203

Mailing address

1301 Orleans St 313E
Detroit, MI 48207-2968
Phone (646) 629-9104

Other names 1

  • Dr. Hunter Azdel Gomez Roberts Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180622002049 NY Practitioner - Obstetrics/Gynecology 3375845712 Reassigns benefits to 1 organization
I20221217000073 NJ Practitioner - Obstetrics/Gynecology 3375845712 Reassigns benefits to 1 organization
I20250513003689 SD Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3375845712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292965-1NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Dec 1, 2022 Accepting new patients
Kaleida Health CurrentSince Aug 5, 2018 Accepting new patients
Kaleida Health Current Accepting new patients
Avera McKennan Current Accepting new patients
Kaleida Health CurrentSince Aug 5, 2018 Accepting new patients
Avera McKennan CurrentSince Feb 20, 2025 Accepting new patients
Avera McKennan CurrentSince Feb 20, 2025 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

140 E Ridgewood Ave
Ste 390S
Paramus, NJ 07652

223 N Van Dien Ave
Fl 1
Ridgewood, NJ 07450

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

1417 S Cliff Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-7580

Interoperability endpoints

  • Direct secure messaging: hunter.gomez-roberts.1@5622.direct.athenahealth.com

Organizations & group practices 8

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1295072601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ORLEANS ST 313E",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072968",
            "telephone_number": "646-629-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ ROBERTS",
        "first_name": "HUNTER",
        "middle_name": "AZDEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "292965-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUNTER",
            "last_name": "GOMEZ ROBERTS",
            "middle_name": "AZDEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.