Individual provider Active NPI

Raad Alhaj Tahtouh

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
National Provider Identifier
1386422269
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Ubmd Internal Medicine 462 Grider St. 11TH Floor.
Buffalo, NY 14215-5418
Phone
(716) 951-0760
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 333901 NY
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Ubmd Internal Medicine 462 Grider St. 11TH Floor.
Buffalo, NY 14215-5418

Mailing address

Ubmd Internal Medicine 462 Grider St. 11TH Floor.
Buffalo, NY 14215-5418
Phone (716) 951-0760

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
I20250908003800 NY Practitioner - Nephrology 7214439272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4803

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc Current Accepting new patients
Academic Medicine Services, Inc. CurrentSince Sep 15, 2025 Accepting new patients

Locations

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

4498 Main St
Ste 23
Buffalo, NY 14226

Interoperability endpoints

  • Direct secure messaging: raadalhajtahtouh@ubmd.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1386422269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UBMD INTERNAL MEDICINE 462 GRIDER ST. 11TH FLOOR.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142155418",
            "telephone_number": "716-951-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UBMD INTERNAL MEDICINE 462 GRIDER ST. 11TH FLOOR.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142155418",
            "telephone_number": "716-951-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAJ TAHTOUH",
        "first_name": "RAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "333901",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "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.