Active NPI
Katherine C Gaines, M.D.
- Gastroenterology Physician
- Buffalo, NY
National Provider Identifier
1376529164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 153168
- Practice address
- 50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345 - Phone
- (716) 849-8750
- Fax
- (716) 849-8757
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 153168 | NY | Primary |
Addresses
Primary practice location
50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345
Mailing address
50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345
Phone (716) 849-8750
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010059307 | Other | NY | UNIVERA |
| 00776650 | Medicaid | NY | |
| 000500104008 | Other | NY | BLUE CROSS |
| 2305778 | Other | NY | IHA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Medicine Services, Inc. | Past | Accepting new patients | |
| Gastrointestinal Group | Gastroenterology | Past | Accepting new patients |
| Ipc Hospitalist Services of New York, P.C. | Past | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1114977048
-
- Hospitalist Physician
- Buffalo, NY
- NPI 1538424650
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1376529164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LAKEFRONT BLVD",
"address_2": "SUITE 130",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024345",
"telephone_number": "716-849-8750",
"fax_number": "716-849-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LAKEFRONT BLVD",
"address_2": "SUITE 130",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024345",
"telephone_number": "716-849-8750",
"fax_number": "716-849-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "KATHERINE",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "153168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010059307",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00776650",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000500104008",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "2305778",
"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 Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.