Individual provider Active NPI

Karyanne Carrizales, PA-C

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1386032928
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
018191-1 Issued in NY
Practice address
100 E Tupper St
Buffalo, NY 14203-1315
Phone
(716) 919-6870
Fax
(716) 919-6871
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 018191-1 NY Primary

Addresses

Primary practice location

100 E Tupper St
Buffalo, NY 14203-1315

Mailing address

100 E Tupper St
Buffalo, NY 14203-1315
Phone (716) 919-6870

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
I20150217000251 NY Practitioner - Physician Assistant 8628393550 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018191-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center of Wny, Inc. CurrentSince Apr 18, 2017 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Nov 27, 2016 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 4, 2019 Accepting new patients
Jericho Road Ministries Inc. CurrentSince Apr 27, 2020 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Nov 27, 2016 Accepting new patients
Jericho Road Ministries Inc. CurrentSince Apr 27, 2020 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Apr 18, 2017 Accepting new patients

Locations

184 Barton St
Buffalo, NY 14213
Phone (716) 348-3000

100 E Tupper St
Buffalo, NY 14203
Phone (716) 539-6743

155 Lawn Ave
Buffalo, NY 14207
Phone (716) 875-2904

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

155 Lawn Ave
Ste 100
Buffalo, NY 14207
Phone (248) 849-3014

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

Organizations & group practices 8

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1386032928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E TUPPER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031315",
            "telephone_number": "716-919-6870",
            "fax_number": "716-919-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E TUPPER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031315",
            "telephone_number": "716-919-6870",
            "fax_number": "716-919-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIZALES",
        "first_name": "KARYANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.