Individual provider Active NPI

Suchitra Koneru, M.D.

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1336170729
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
234104 Issued in NY
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 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

IdentifierTypeStateIssuer
000527972001OtherNYBLUE CROSS OF WNY
051019000019OtherNYFIDELIS
00026938603OtherNYUNIVERA
00026938601OtherNYUNIVERA
000527972003OtherNYBLUE CROSS OF WNY
0112743OtherNYINDEPENDENT HEALTH
050128000096OtherNYFIDELIS

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
I20060224000275 NY Practitioner - Family Practice 6709785488 Reassigns benefits to 4 organizations

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
Allied Physicians of Buffalo PCGroup PAC ID 0244608008, 3 clinicians

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

LicenseStateTypeSpecialty
234104NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Feb 1, 2013 Accepting new patients
Trinity Medical Wny PC CurrentSince Apr 3, 2018 Accepting new patients
Trinity Medical Wny PC CurrentSince Apr 3, 2018 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Jun 8, 2019 Accepting new patients
Allied Physicians of Buffalo, PC CurrentSince Sep 14, 2022 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Jun 8, 2019 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.