Individual provider Active NPI

Samantha Bordonaro, MD

  • Emergency Medicine Physician
  • Buffalo, NY
National Provider Identifier
1336375260
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
264748-1 Issued in NY
Practice address
100 High St
Buffalo, NY 14203
Phone
(716) 691-8838
Fax
(716) 851-8014
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 264748-1 NY Primary

Addresses

Primary practice location

100 High St
Buffalo, NY 14203

Mailing address

77 Goodell St Ste 340
Buffalo, NY 14203-1243
Phone (716) 645-9715

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbordonaro@direct.kaleidahealth.org Kaleida Health
Direct Messaging Address sbordonaro@direct.kaleidahealth.org Kaleida Health

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
I20120619000337 NY Practitioner - Emergency Medicine 2466616693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
76.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264748-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc Current Accepting new patients
University Emergency Medical Services Inc. Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients

Locations

77 Goodell St
Ste 340
Buffalo, NY 14203
Phone (716) 645-9700

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Interoperability endpoints

  • Direct secure messaging: sbordonaro@direct.kaleidahealth.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1336375260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST STE 340",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031243",
            "telephone_number": "716-645-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-691-8838",
            "fax_number": "716-851-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDONARO",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "264748-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbordonaro@direct.kaleidahealth.org",
            "affiliation": "Y",
            "endpointDescription": "Kaleida Health",
            "affiliationName": "Kaleida Health",
            "address_1": "100 High St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142031126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbordonaro@direct.kaleidahealth.org",
            "affiliation": "Y",
            "endpointDescription": "Kaleida Health",
            "affiliationName": "Kaleida Health",
            "address_1": "100 High St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142031126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.