NPIMap

Individual provider Active NPI

Erika Connor, M.D.

  • Family Medicine Physician
  • Randolph, NY
National Provider Identifier
1336136274
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
172279 Issued in NY
Practice address
111 Main St
Randolph, NY 14772-1131
Phone
(716) 358-2340
Fax
(716) 358-2350
NPI assigned
Oct 5, 2005
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 172279 NY Primary

Addresses

Primary practice location

111 Main St
Randolph, NY 14772-1131

Mailing address

111 Main St
Randolph, NY 14772-1131
Phone (716) 358-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100317000023 NY Practitioner - Family Practice 6608901657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Main St
Randolph, NY 14772-1131
Phone (716) 358-2340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.69 of 100Reported as individual
Quality
96.67
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Connor, LLP Family Medicine CurrentSince Jan 1, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3719 Union Rd
Ste 218
Cheektowaga, NY 14225
Phone (716) 206-1503

111 Main St
Randolph, NY 14772
Phone (716) 358-2340

Interoperability endpoints

  • Direct secure messaging: erika@connoremd.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1336136274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147721131",
            "telephone_number": "716-358-2340",
            "fax_number": "716-358-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "RANDOLPH",
            "state": "NY",
            "postal_code": "147721131",
            "telephone_number": "716-358-2340",
            "fax_number": "716-358-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "ERIKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "172279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NY

Sources for this page

Verify at the official NPI Registry.