Active NPI
Erika Connor, M.D.
- Family Medicine Physician
- Randolph, NY
National Provider Identifier
1336136274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 172279
- Practice address
- 111 Main St
Randolph, NY 14772-1131 - Phone
- (716) 358-2340
- Fax
- (716) 358-2350
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01042479 | Medicaid | NY | |
| 00010261902 | Other | NY | UNIVERA |
| 000511511006 | Other | NY | BC/BS |
| 0110256 | Other | NY | IHA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Willcare Chha (Buffalo)
- Vna of Western Ny Chha
- Homecare & Hospice
- Upmc Chautauqua at Wca
- Olean General Hospital
- Brooks-TLC Hospital System, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.69 of 100
- Quality
- 96.67
- Improvement activities
- 40
- Cost
- 73.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erika Connor, LLP | Family Medicine | Current | 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
- 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
-
- Community Based Hospice Care Agency
- Allegany, NY
- NPI 1275523482
Hospice
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
Hospital
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
-
- Home Health Agency
- Amherst, NY
- NPI 1710036298
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01042479",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010261902",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000511511006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0110256",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Randolph, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.