Active NPI
Millicent H Trevett, MD
- Obstetrics & Gynecology Physician
- Tonawanda, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 207530
- Practice address
- 4041 Delaware Ave
Tonawanda, NY 14150 - Phone
- (716) 876-5512
- Fax
- (716) 876-7342
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 207530 | NY | Primary |
Addresses
Primary practice location
4041 Delaware Ave
Tonawanda, NY 14150
Mailing address
4041 Delaware Ave
Tonawanda, NY 14150
Phone (716) 876-5512
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000526444001 | Other | BLUE CROSS BLUE SHIELD | |
| 0086173 | Other | GHI | |
| 00025601301 | Other | UNIVERA | |
| 02273210 | Medicaid | NY | |
| 160056905 | Other | RAILROAD BLOCK 24K | |
| 0711192 | Other | IHA | |
| 156782CK | Other | PREFERRED CARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Buffalo School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3620 Sheridan Dr
Suite 200
Amherst, NY 14226-1631
Phone (716) 876-5512
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 |
|---|---|---|---|
| 207530 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Suburban Women'S Healthcare PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Western New York DC, LLC | Past | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
3620 Sheridan Dr
#200
Buffalo, NY 14226
Phone (716) 876-5512
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Tonawanda, NY
- NPI 1225030943
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Williamsville, NY
- NPI 1427123165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1447299573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 DELAWARE AVE",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "14150",
"telephone_number": "716-876-5512",
"fax_number": "716-876-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 DELAWARE AVE",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "14150",
"telephone_number": "716-876-5512",
"fax_number": "716-876-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVETT",
"first_name": "MILLICENT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "207530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000526444001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0086173",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025601301",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02273210",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD BLOCK 24K",
"identifier": "160056905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0711192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "156782CK",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.