Individual provider Active NPI

Kathleen M Donovan-Antalek, DO

  • Allergy Physician
  • Amherst, NY
National Provider Identifier
1295715514
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
170207 Issued in NY
Practice address
500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263
Phone
(716) 631-0380
Fax
(716) 631-3229
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 170207 NY Primary

Addresses

Primary practice location

500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263

Mailing address

500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263
Phone (716) 631-0380

Other identifiers 1

IdentifierTypeStateIssuer
01091941MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000038 NY Practitioner - Allergy/Immunology 0345389375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jeanne Lomas Allergy Medicine PLLCGroup PAC ID 0042745317, 7 clinicians

Practice addresses (Care Compare)

500 Corporate Pkwy
Suite 100
Amherst, NY 14226-1263
Phone (716) 631-0380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170207NYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jeanne Lomas Allergy Medicine PLLC Allergy CurrentSince Apr 1, 2025 Accepting new patients

Locations

500 Corporate Pkwy
Ste 100
Buffalo, NY 14226
Phone (716) 631-0380

Organizations & group practices 1

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1295715514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261263",
            "telephone_number": "716-631-0380",
            "fax_number": "716-631-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CORPORATE PKWY",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261263",
            "telephone_number": "716-631-0380",
            "fax_number": "716-631-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN-ANTALEK",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "170207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01091941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.