Tanvir M Dara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

197036 Issued in NY

Practice address

15 S Main St Ste 270
Jamestown, NY 14701-6629

Phone

(716) 489-3144

Fax

(716) 489-3152

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, VA, FL, GA, MI, OH6 enrollments

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 6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Buffalo Emergency Associates LLP

  • Emergency Medicine Physician
  • Williamsville, NY
  • NPI 1508816521
  Medicare reassignment NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment NPD
• University Emergency Medical Services Inc.

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1972540482
  Medicare reassignment NPD
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  MI

  Medicare reassignment NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1427007046
  NPD
• Kaleida Health

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• Ub Family Medicine, Inc

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1942294467
  NPD
• Western New York Immediate Medical Care LLC

  • Urgent Care Clinic/Center
  • Williamsville, NY
  • NPI 1316014491
  NPD
• Western New York Immediate Medical Care LLC

  • Emergency Medicine Physician
  • Orchard Park, NY
  • NPI 1427224625
  NPD
• Hometown Urgent Care of Michigan, P.C.

  • Clinical Medical Laboratory
  • Kalamazoo, MI
  • NPI 1891469631
  NPD
• Hometown Urgent Care of Michigan, PC

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1881358489
  NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1366409906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 WEST VILLAGE PARKWAY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942634",
            "telephone_number": "561-998-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 270",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016629",
            "telephone_number": "716-489-3144",
            "fax_number": "716-489-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 West Village Parkway",
            "address_purpose": "LOCATION",
            "city": "Ellenwood",
            "state": "GA",
            "postal_code": "302942634",
            "country_code": "US",
            "telephone_number": "561-998-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARA",
        "first_name": "TANVIR",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "197036",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Ross NP in Psychiatry, PLLC
• Corey Garrett Daniels, D.O.
• Debra B Daniels, NP
• Robert L Daniels, M.D.
• Ayden Wilson Danielson
• Tara Lynn Darling, PT, DPT
• Daniel Darr, LMHC
• Praveen Gowtham Varma Dasaraju
• Marie-Louise Davis, LMSW
• Morgan Davis, CNM

• Internal Medicine Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.