Individual provider Active NPI

Shivraj Singh

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1376434886
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
400 International Dr
Buffalo, NY 14221-5771
Phone
(716) 631-3555
NPI assigned
Jul 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

400 International Dr
Buffalo, NY 14221-5771

Mailing address

1301 Netherton CT
East Amherst, NY 14051-1272
Phone (716) 529-9994

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930001696 NY Practitioner - Physician Assistant 8325544364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Spine Medical Services PLLCGroup PAC ID 9032103056, 56 clinicians

Practice addresses (Care Compare)

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034204NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dia Invision Health CurrentSince Sep 1, 2025 Accepting new patients
Brain & Spine Medical Services PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

100 College Pkwy
Ste 180
Williamsville, NY 14221
Phone (716) 636-1802

Interoperability endpoints

  • Direct secure messaging: ssingh@invisionhealthbrainandspine.medentdirect.com

Organizations & group practices 2

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": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1376434886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 NETHERTON CT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511272",
            "telephone_number": "716-529-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215771",
            "telephone_number": "716-631-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SHIVRAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.