Individual provider Active NPI

Andrew Bennett Nordin, MD

  • Surgery Physician
  • Buffalo, NY
National Provider Identifier
1336585769
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
305187 Issued in NY
Practice address
100 High St
Room C-378
Buffalo, NY 14203-1126
Phone
(716) 859-7756
NPI assigned
May 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 305187 NY Primary
Surgical Critical Care Physician 2086S0102X 305187 NY

Addresses

Primary practice location

100 High St
Room C-378
Buffalo, NY 14203-1126

Mailing address

100 High St
Room C-378
Buffalo, NY 14203-1126

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
I20200911001760 NY Practitioner - General Surgery 1052606779 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Surgeons Inc Surgery CurrentSince Aug 15, 2020 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Aug 1, 2020 Accepting new patients
Kaleida Health CurrentSince Aug 1, 2020 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health Past Accepting new patients
Kaleida Health Past Accepting new patients

Locations

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

1001 Main St
Fl 3
Buffalo, NY 14203
Phone (716) 323-6030

100 High St
Rm C378
Buffalo, NY 14203
Phone (716) 859-7756

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

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

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

Interoperability endpoints

  • Direct secure messaging: andrewnordin@ubmd.allscriptsdirect.net

Organizations & group practices 8

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1336585769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "address_2": "ROOM C-378",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "address_2": "ROOM C-378",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDIN",
        "first_name": "ANDREW",
        "middle_name": "BENNETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "305187",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "305187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.