NPIMap

Individual provider Active NPI

Khalid S Mahran, MD

  • Nephrology Physician
  • Kenmore, NY
National Provider Identifier
1336253210
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
207970 Issued in NY
Practice address
2949 Elmwood Avenue
Kenmore, NY 14217
Phone
(716) 873-7301
Fax
(716) 875-2685
NPI assigned
Aug 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 207970 NY Primary

Addresses

Primary practice location

2949 Elmwood Avenue
Kenmore, NY 14217

Mailing address

2949 Elmwood Avenue
Kenmore, NY 14217
Phone (716) 873-7301

Other identifiers 1

IdentifierTypeStateIssuer
01774038MedicaidNY

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
I20040526000172 NY Practitioner - Internal MedicinePractitioner - Nephrology 2163403213 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

2121 Main St
Suite 216
Buffalo, NY 14214-2689
Phone (716) 833-1511

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC Current Accepting new patients
Wny Medical PC CurrentSince Mar 1, 2017 Accepting new patients
Kidney Care PC Nephrology CurrentSince Nov 15, 2004 Accepting new patients
Dia Invision Health CurrentSince Aug 1, 2025 Accepting new patients
University Internal Medicine Assoc LLP Past Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients
Tonawanda Medical Services, PC Past Accepting new patients

Locations

2121 Main St
Ste 216
Buffalo, NY 14214
Phone (716) 833-1511

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

2949 Elmwood Ave
Kenmore, NY 14217
Phone (716) 873-7246

100 College Pkwy
Ste 180
Williamsville, NY 14221
Phone (716) 636-1802

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Interoperability endpoints

  • Direct secure messaging: kmahran@wnymedical.medentdirect.com

Organizations & group practices 7

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336253210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVENUE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-873-7301",
            "fax_number": "716-875-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVENUE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "14217",
            "telephone_number": "716-873-7301",
            "fax_number": "716-875-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHRAN",
        "first_name": "KHALID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "207970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01774038",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.