Active NPI
John Richard Santillo III, D.O.
- Emergency Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 257053
- Practice address
- 2157 Main St
Buffalo, NY 14214-2648 - Phone
- (716) 862-1820
- NPI assigned
- Jan 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | L1642312 | MI | |
| Emergency Medicine Physician | 207P00000X | 257053 | NY | Primary |
Addresses
Primary practice location
2157 Main St
Buffalo, NY 14214-2648
Mailing address
1 John James Audubon Pkwy
Buffalo, NY 14228-1143
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1642312 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Emergency Associates LLP | Emergency Medicine | Current | Accepting new patients |
| Keystone Medical Services of New York, PC | Emergency Medicine | Current | Accepting new patients |
| Medical Services of Buffalo, PC | Current | Accepting new patients | |
| Exigence Medical of Hornell, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Past | Accepting new patients |
Locations
1 John James Audubon Pkwy
Buffalo, NY 14228
Phone (865) 985-7024
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
521 East Ave
Lockport, NY 14094
Phone (716) 434-9111
224 E Main St
Springville, NY 14141
Phone (716) 592-2871
6075 Poplar Ave
Ste 401
Memphis, TN 38119
Phone (901) 795-3600
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.
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Springville, NY
- NPI 1952331761
-
- Hospitalist Physician
- Springville, NY
- NPI 1487215885
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Emergency Medicine Physician
- Hornell, NY
- NPI 1851528327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1447437876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOHN JAMES AUDUBON PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142281143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-862-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTILLO",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "L1642312",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "257053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.