Active NPI
Charles S. Tirone, MD
- Diagnostic Radiology Physician
- Buffalo, NY
National Provider Identifier
1366413734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 097861
- Practice address
- 2157 Main St
Buffalo, NY 14214-2648 - Phone
- (716) 649-9000
- Fax
- (716) 649-9005
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 097861-1 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 097861 | NY | Primary |
Addresses
Primary practice location
2157 Main St
Buffalo, NY 14214-2648
Mailing address
405 N French Rd
Suite 104
Amherst, NY 14228-2010
Phone (716) 689-1901
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149934FF | Other | NY | PREFERRED CARE |
| 000507061006 | Other | NY | BCBS |
| 1609206 | Other | NY | INDEPENDENT HEALTH |
| 00673776 | Medicaid | NY | |
| 060530000067 | Other | NY | FIDELIS OF NEW YORK |
| 00026748305 | Other | NY | UNIVERA HEALTHCARE |
| P00135324 | Other | NY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097861-1 | NY | MD | Body Imaging Physician |
| 097861 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Imaging Radiology PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Southtowns Radiology Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Sra Medical Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Sisters Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Imaging Associates PC | Diagnostic Radiology | Past | Accepting new patients |
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.
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- NPI 1891893053
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- Diagnostic Radiology Physician
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- NPI 1295833440
-
- Diagnostic Radiology Physician
- Hamburg, NY
- NPI 1629108063
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- Diagnostic Radiology Physician
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- NPI 1881920452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1366413734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N FRENCH RD",
"address_2": "SUITE 104",
"city": "AMHERST",
"state": "NY",
"postal_code": "142282010",
"telephone_number": "716-689-1901",
"fax_number": "716-564-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-649-9000",
"fax_number": "716-649-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIRONE",
"first_name": "CHARLES",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NY",
"license": "097861-1",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "097861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "149934FF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000507061006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1609206",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00673776",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS OF NEW YORK",
"identifier": "060530000067",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00026748305",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00135324",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.