Individual provider Active NPI

Teresa M. Ainsworth, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Orchard Park, NY
National Provider Identifier
1437107786
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
202092 Issued in NY
Practice address
3176 Abbott Rd Unit 500
Orchard Park, NY 14127-1069
Phone
(716) 822-2117
NPI assigned
May 5, 2006
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 202092 NY
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 202092 NY Primary

Addresses

Primary practice location

3176 Abbott Rd Unit 500
Orchard Park, NY 14127-1069

Mailing address

3176 Abbott Rd Unit 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117

Other practice location 1

72 Hinchey Rd
Rochester, NY 14624-2930
Phone (585) 467-2230

Other identifiers 3

IdentifierTypeStateIssuer
00F8299MedicaidNM
049202092MedicaidNY
DD6518OtherNYMEDICARE 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060124000337 NY Practitioner - Emergency Medicine 6305898529 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202092NYMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Drug & Alcohol Council, Inc CurrentSince Jan 14, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Nov 1, 2019 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Delphi Drug & Alcohol Council CurrentSince Apr 17, 2023 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jul 27, 2019 Accepting new patients
Immediate Care East Walk-in Medical Treatment, PLLC PastSince May 1, 2007 Accepting new patients
Delphi Emergency Physician Services Past Accepting new patients
The Frederick Ferris Thompson Hospital Past Accepting new patients
Mesa Emergency Group LLC Emergency Medicine Past Accepting new patients

Locations

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

510 S 4th St
Ste 2
Fulton, NY 13069
Phone (315) 592-3510

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

72 Hinchey Rd
Rochester, NY 14624
Phone (585) 467-2230

Organizations & group practices 11

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.

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": "1685664000000",
    "number": "1437107786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD UNIT 500",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-822-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD UNIT 500",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-822-2117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Hinchey Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146242930",
            "country_code": "US",
            "telephone_number": "585-467-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "202092",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NY",
            "license": "202092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00F8299",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049202092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NY",
            "identifier": "DD6518",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.