NPIMap

Individual provider Active NPI

Leon Buffaloe Jr., M.D.

  • Internal Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1366603391
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31018 Issued in SC
Practice address
114B Hospital Dr
Simpsonville, SC 29681-3226
Phone
(864) 757-5177
Fax
(864) 757-5178
NPI assigned
Jun 23, 2008
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31018 SC Primary

Addresses

Primary practice location

114B Hospital Dr
Simpsonville, SC 29681-3226

Mailing address

114B Hospital Dr
Simpsonville, SC 29681-3226
Phone (864) 757-5177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113000265 SC Practitioner - Internal Medicine 8820269277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grace Internal Medicine LLCGroup PAC ID 8224560420, 2 clinicians

Practice addresses (Care Compare)

114 B Hospital Dr
Simpsonville, SC 29681-3226
Phone (864) 535-6855

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Jan 1, 2021 Accepting new patients
Musc Affiliate Physicians Internal Medicine CurrentSince Jul 18, 2023 Accepting new patients
Carolina Family Care, Inc CurrentSince Jan 1, 2021 Accepting new patients
Musc Affiliate Physicians CurrentSince Jul 18, 2023 Accepting new patients
Grace Internal Medicine LLC Internal Medicine CurrentSince Feb 11, 2020 Accepting new patients
Self Medical Group Past Accepting new patients
Carolina Family Care, Inc Past Accepting new patients

Locations

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

114B Hospital Dr
Simpsonville, SC 29681
Phone (864) 399-9070

Interoperability endpoints

  • Direct secure messaging: leon.buffaloe.1@32091.direct.athenahealth.com

Organizations & group practices 7

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 58

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1366603391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114B HOSPITAL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-757-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114B HOSPITAL DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813226",
            "telephone_number": "864-757-5177",
            "fax_number": "864-757-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFALOE",
        "first_name": "LEON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "31018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.