Active NPI
Suchitra Koneru, M.D.
- Family Medicine Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 234104
- Practice address
- 400 International Dr
Williamsville, NY 14221-5760 - Phone
- (716) 634-8262
- Fax
- (716) 633-2593
- NPI assigned
- Jul 5, 2006
- Last updated
- Mar 20, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 234104 | NY | Primary |
Addresses
Primary practice location
400 International Dr
Williamsville, NY 14221-5760
Mailing address
6333 Main Street
Williamsville, NY 14221-5760
Phone (716) 634-8262
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000527972001 | Other | NY | BLUE CROSS OF WNY |
| 051019000019 | Other | NY | FIDELIS |
| 00026938603 | Other | NY | UNIVERA |
| 00026938601 | Other | NY | UNIVERA |
| 000527972003 | Other | NY | BLUE CROSS OF WNY |
| 0112743 | Other | NY | INDEPENDENT HEALTH |
| 050128000096 | Other | NY | FIDELIS |
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
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9530 Main St
Clarence, NY 14031-1915
Phone (716) 320-3220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234104 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Frank R. Laurri, M.D. & Associates, P.C. | Current | Accepting new patients | |
| Allied Physicians of Buffalo, PC | Current | Accepting new patients | |
| Frank R. Laurri, M.D. & Associates, P.C. | Current | Accepting new patients |
Locations
13500 Broadway St
Alden, NY 14004
Phone (716) 320-3220
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
9530 Main St
Clarence, NY 14031
Phone (716) 320-3220
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170
3065 Southwestern Blvd
Ste 102
Orchard Park, NY 14127
Phone (716) 261-1474
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
1000 Youngs Rd
Williamsville, NY 14221
Phone (716) 688-0075
6333 Main St
Williamsville, NY 14221
Phone (716) 631-8400
Interoperability endpoints
- suchitrakoneru@alliedphysiciansofbuffalo.medentdirect.com
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.
-
- General Practice Physician
- Clarence, NY
- NPI 1750005526
-
- Internal Medicine Physician
- Niagara Falls, NY
- NPI 1548305519
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
- Registered Nurse
- Niagara Falls, NY
- NPI 1902563646
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
dba Millard Fillmore Gates Hospital
- 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": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1336170729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 MAIN STREET",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215760",
"telephone_number": "716-634-8262",
"fax_number": "716-633-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215760",
"telephone_number": "716-634-8262",
"fax_number": "716-633-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONERU",
"first_name": "SUCHITRA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "234104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WNY",
"identifier": "000527972001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "051019000019",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026938603",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026938601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WNY",
"identifier": "000527972003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0112743",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050128000096",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.