Individual provider Active NPI

Nadezhda Danilovich, MD

  • Pediatric Endocrinology Physician
  • Williamsville, NY
National Provider Identifier
1316077878
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
241987 Issued in NY
Practice address
8203 Main St Ste 14
Williamsville, NY 14221-6051
Phone
(585) 201-7112
Fax
(585) 201-7128
NPI assigned
Mar 6, 2007
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 241987 NY
Pediatric Endocrinology Physician 2080P0205X 241987 NY Primary

Addresses

Primary practice location

8203 Main St Ste 14
Williamsville, NY 14221-6051

Mailing address

8203 Main St Ste 14
Williamsville, NY 14221-6051
Phone (585) 201-7112

Other identifiers 4

IdentifierTypeStateIssuer
000529154001OtherNYBLUE CROSS
02852904MedicaidNY
00028021701OtherNYUNIVERA HEALTHCARE
1214181OtherNYINDEPENDENT HEALTH

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
I20110222000194 NY Practitioner - Pediatric MedicinePractitioner - Endocrinology 7315128519 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241987NYMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Pediatric Endocrinology, PLLC Pediatric Endocrinology CurrentSince Dec 1, 2019 Accepting new patients
General Physician, PC CurrentSince Apr 1, 2011 Accepting new patients
Kaleida Health CurrentSince May 1, 2016 Accepting new patients
Kaleida Health Current Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics CurrentSince Jan 1, 2011 Accepting new patients
Kaleida Health CurrentSince May 1, 2016 Accepting new patients

Locations

5762 E Main Street Rd
Ste B
Batavia, NY 14020
Phone (585) 273-1900

7 Evans St
Batavia, NY 14020
Phone (585) 343-1250

125 Hodge Ave
Buffalo, NY 14222
Phone (716) 878-7488

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

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

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

609 Central Ave
Dunkirk, NY 14048
Phone (716) 363-6960

8203 Main St
Ste 14
Williamsville, NY 14221
Phone (585) 201-7112

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1316077878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 MAIN ST STE 14",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216051",
            "telephone_number": "585-201-7112",
            "fax_number": "585-201-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 MAIN ST STE 14",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216051",
            "telephone_number": "585-201-7112",
            "fax_number": "585-201-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANILOVICH",
        "first_name": "NADEZHDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "241987",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "241987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000529154001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02852904",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00028021701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1214181",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.