Individual provider Active NPI

Laura Louise Ford-Mukkamala, DO

  • Cardiovascular Disease Physician
  • Orchard Park, NY
National Provider Identifier
1306950001
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
265258 Issued in NY
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

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03489461MedicaidNY

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
I20120824000066 NY Practitioner - Cardiovascular Disease (Cardiology) 8729977632 Reassigns benefits to 2 organizations

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
General Physician PCGroup PAC ID 9537213079, 488 clinicians

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 100Reported as individual
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265258NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Aug 1, 2012 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Aug 1, 2012 Accepting new patients
General Physician, PC CurrentSince Jun 18, 2017 Accepting new patients
Lourdes Cardiology Services Cardiovascular Disease Past Accepting new patients
Western New York Ear, Nose & Throat, P.C. PastSince Jul 24, 2025 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 PastSince Nov 4, 1997 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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

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

Verify at the official NPI Registry.