Active NPI
Jagdish M Trivedi, MD FACS
- Surgery Physician
- Niagra Falls, NY
National Provider Identifier
1376629790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 126770
- Practice address
- 817 Main Street
Niagra Falls, NY 14301 - Phone
- (716) 284-2222
- NPI assigned
- Oct 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 126770 | NY | Primary |
Addresses
Primary practice location
817 Main Street
Niagra Falls, NY 14301
Mailing address
817 Main Street
Niagra Falls, NY 14301
Phone (716) 284-2222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010180101 | Other | NY | UNIVERA |
| 00506959001 | Other | NY | BLUE CROSS BLUE SHIELD |
| 00456859 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126770 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376629790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 MAIN STREET",
"city": "NIAGRA FALLS",
"state": "NY",
"postal_code": "14301",
"telephone_number": "716-284-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 MAIN STREET",
"city": "NIAGRA FALLS",
"state": "NY",
"postal_code": "14301",
"telephone_number": "716-284-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "JAGDISH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "126770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010180101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00506959001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00456859",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niagra Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.