Active NPI
Laura Louise Ford-Mukkamala, DO
- Cardiovascular Disease Physician
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 265258
- Practice address
- 5959 Big Tree Rd
Orchard Park, NY 14127-2291 - Phone
- (716) 710-8266
- Fax
- (716) 710-8267
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 265258 | NY | Primary |
Addresses
Primary practice location
5959 Big Tree Rd
Orchard Park, NY 14127-2291
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03489461 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 884-3000
1091 Main St
Suite 301
Buffalo, NY 14209-2305
Phone (716) 362-0328
1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600
3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266
5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 882-0035
6009 S Transit Rd
Suite 300
Lockport, NY 14094-6307
Phone (716) 656-4077
705 Maple Rd
Williamsville, NY 14221-3291
Phone (716) 656-4077
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.52 of 100
- Quality
- 78.14
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265258 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| Lourdes Cardiology Services | Cardiovascular Disease | Past | Accepting new patients |
| Western New York Ear, Nose & Throat, P.C. | Past | Accepting new patients | |
| Cardiac Interpretation Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Cardiac Diagnostic Center of Southern New Jersey | Cardiovascular Disease | Past | Accepting new patients |
| Cardiovascular Associates of the Delaware Valley,P a | Cardiovascular Disease | Past | Accepting new patients |
Locations
1091 Main St
Ste 301GP
Buffalo, NY 14209
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593
5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677
705 Maple Rd
Williamsville, NY 14221
Phone (716) 580-7300
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
6255 Sheridan Dr
Ste 108
Williamsville, NY 14221
Phone (716) 630-1219
Interoperability endpoints
- drford-mukkamala@gppc.medentdirect.com
Organizations & group practices 9
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
-
- Otolaryngology/Facial Plastic Surgery Physician
- Orchard Park, NY
- NPI 1487877817
-
- Cardiovascular Disease Physician
- Cherry Hill, NJ
- NPI 1255468922
-
- Cardiovascular Disease Physician
- Voorhees, NJ
- NPI 1104908078
-
- Cardiovascular Disease Physician
- Haddon Heights, NJ
- NPI 1366495632
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1417169772
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1306950001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "716-692-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 BIG TREE RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272291",
"telephone_number": "716-710-8266",
"fax_number": "716-710-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD-MUKKAMALA",
"first_name": "LAURA",
"middle_name": "LOUISE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "265258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03489461",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.