Active NPI
Hanaw Assad Adham, M.D.
- Internal Medicine Physician
- Kenmore, NY
National Provider Identifier
1427112291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 242668
- Practice address
- 2950 Elmwood Ave
Kenmore, NY 14217-1304 - Phone
- (716) 447-6100
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 242668 | NY | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Kenmore, NY 14217-1304
Mailing address
67 Main Street
Hamburg, NY 14075
Phone (716) 649-0887
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000528976001 | Other | NY | BLUE CROSS |
| 0414097 | Other | NY | INDEPENDENT HEALTH |
| 00027870401 | Other | NY | UNIVERA |
| 02842588 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070612000547 | NY | Practitioner - Hospitalist | 0547368730 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- General Physician PC
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1400
Hospital & facility affiliations
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242668 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Medical Group P.C. | Internal Medicine | Current | Accepting new patients |
| General Physician, PC | Current | Accepting new patients | |
| Infinity Medical of Wny PC | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
515 Main St
Olean, NY 14760
Phone (716) 373-2600
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1841648011
Internal Medicine, NY
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
Hospital & facility affiliations 6
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": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1427112291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 MAIN STREET",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-649-0887",
"fax_number": "716-646-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-447-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADHAM",
"first_name": "HANAW",
"middle_name": "ASSAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "242668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000528976001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0414097",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027870401",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02842588",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.