Individual provider Active NPI

Megan C Donnelly, PA

  • Surgical Physician Assistant
  • West Seneca, NY
National Provider Identifier
1407160997
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
014027 Issued in NY
Practice address
550 Orchard Park Rd.
Suite B103
West Seneca, NY 14224-2654
Phone
(716) 677-5005
Fax
(716) 712-0160
NPI assigned
Jul 27, 2010
Last updated
Nov 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 014027 NY Primary
Physician Assistant 363A00000X 014027 NY

Addresses

Primary practice location

550 Orchard Park Rd.
Suite B103
West Seneca, NY 14224-2654

Mailing address

550 Orchard Park Rd.
Suite A105
West Seneca, NY 14224-2654
Phone (716) 677-6000

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
I20101203000147 NY Practitioner - Physician Assistant 9739376773 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenmore Mercy HospitalGroup PAC ID 7517870462, 54 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-6100

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014027NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Nov 6, 2017 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 28, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 28, 2024 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Kenmore Mercy Hospital Past Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients
FDR Medical Services P.C. Past Accepting new patients
Keystone Medical Services of Niagara Falls PC Past Accepting new patients
Buffalo Neurosurgery PC Past Accepting new patients

Locations

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

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1407160997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD.",
            "address_2": "SUITE A105",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242654",
            "telephone_number": "716-677-6000",
            "fax_number": "716-677-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD.",
            "address_2": "SUITE B103",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242654",
            "telephone_number": "716-677-5005",
            "fax_number": "716-712-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "MEGAN",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014027",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.