Active NPI
Hunter Azdel Gomez Roberts, MD
- Maternal & Fetal Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 292965-1
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 292965-1 | NY | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | 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
- 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.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1336111962
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1376575514
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.