Individual provider Active NPI

Edward T. Plata, M.D.

  • Anesthesiology Physician
  • Buffalo, NY
National Provider Identifier
1346271590
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
002079-1 Issued in NY
Practice address
2121 Main St
Ste. 111
Buffalo, NY 14214-2693
Phone
(716) 836-7510
NPI assigned
Jul 5, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 002079-1 NY Primary

Addresses

Primary practice location

2121 Main St
Ste. 111
Buffalo, NY 14214-2693

Mailing address

56 Grand View TRL
Orchard Park, NY 14127-3756
Phone (716) 836-7510

Other identifiers 1

IdentifierTypeStateIssuer
02593906MedicaidNY

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
I20040827000379 NY Practitioner - Anesthesiology 8224003801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southtowns Ambulatory Anesthesia PLLCGroup PAC ID 6103114764, 9 clinicians

Practice addresses (Care Compare)

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 984-7840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249117NYMDLicensed Practical Nurse
002079-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Ambulatory Anesthesia PLLC Anesthesiology CurrentSince Jul 25, 2016 Accepting new patients
Parkside Medical Anesthesia Associates Anesthesiology CurrentSince Jul 1, 2004 Accepting new patients
Eastern Niagara Medical Group PC Anesthesiology CurrentSince Nov 18, 2021 Accepting new patients
Buffalo Advanced Medical, P.C. Past Accepting new patients

Locations

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2372 Sweet Home Rd
Ste 3
Buffalo, NY 14228

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Organizations & group practices 4

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 1

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": "1217462400000",
    "number": "1346271590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GRAND VIEW TRL",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273756",
            "telephone_number": "716-836-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAIN ST",
            "address_2": "STE. 111",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142693",
            "telephone_number": "716-836-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATA",
        "first_name": "EDWARD",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "002079-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02593906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.