Individual provider Active NPI

Lida Atarod

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1376414839
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
339212 Issued in NY
Practice address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone
(716) 986-9199
Fax
(716) 342-2340
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 339212 NY Primary

Addresses

Primary practice location

34 Benwood Ave
Buffalo, NY 14214-1761

Mailing address

34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199

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
I20251211000526 NY Practitioner - Pediatric Medicine 0042704652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34 Benwood Ave
Buffalo, NY 14214-1761

34 Benwood Ave
Buffalo, NY 14214-1791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339212NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince Oct 31, 2025 Accepting new patients

Locations

34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1376414839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-342-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-342-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAROD",
        "first_name": "LIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "339212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.