Individual provider Active NPI

Katherine A Vergos, MD

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1417905894
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
196741 Issued in NY
Practice address
899 Main St
Buffalo, NY 14203-1109
Phone
(716) 878-2700
Fax
(716) 878-2701
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 196741 NY Primary

Addresses

Primary practice location

899 Main St
Buffalo, NY 14203-1109

Mailing address

120 Gardenville Pkwy W
West Seneca, NY 14224-1324
Phone (716) 656-4250

Other identifiers 1

IdentifierTypeStateIssuer
01495330MedicaidNY

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
I20120723000546 NY Practitioner - Pediatric Medicine 6204092059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Jan 7, 2018 Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics CurrentSince Mar 7, 2018 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jan 7, 2018 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

125 Hodge Ave
Buffalo, NY 14222
Phone (716) 878-7488

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

Organizations & group practices 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1417905894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GARDENVILLE PKWY W",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241324",
            "telephone_number": "716-656-4250",
            "fax_number": "716-656-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031109",
            "telephone_number": "716-878-2700",
            "fax_number": "716-878-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGOS",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "196741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01495330",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.