Active NPI
Alexandra Rian Peters, PA-C
- Physician Assistant
- Williamsville, NY
National Provider Identifier
1346768652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 021343
- Practice address
- 193 S Union Rd
Williamsville, NY 14221-6531 - Phone
- (609) 585-1122
- Fax
- (609) 585-0309
- NPI assigned
- Sep 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 021343 | NY | Primary |
Addresses
Primary practice location
193 S Union Rd
Williamsville, NY 14221-6531
Mailing address
PO Box 7411009
Chicago, IL 60674-3009
Phone (609) 585-1122
Other practice location 1
200 7th St
Buffalo, NY 14201-2161
Phone (609) 585-1122
Other practice location 2
2799 Sheridan Dr
Tonawanda, NY 14150-9463
Phone (609) 585-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04925462 | Medicaid | NY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89 of 100
- Quality
- 76.13
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021343 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Safire Rehabilitation of Northtowns, LLC | Past | Accepting new patients |
Locations
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Skilled Nursing Facility
- Tonawanda, NY
- NPI 1093191488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1346768652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7411009",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606743009",
"telephone_number": "609-585-1122",
"fax_number": "609-585-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 S UNION RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216531",
"telephone_number": "609-585-1122",
"fax_number": "609-585-0309"
}
],
"practiceLocations": [
{
"address_1": "200 7th St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142012161",
"country_code": "US",
"telephone_number": "609-585-1122",
"fax_number": "609-585-0309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2799 Sheridan Dr",
"address_purpose": "LOCATION",
"city": "Tonawanda",
"state": "NY",
"postal_code": "141509463",
"country_code": "US",
"telephone_number": "609-585-1122",
"fax_number": "609-585-0309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERS",
"first_name": "ALEXANDRA",
"middle_name": "RIAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "021343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04925462",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.