Individual provider Active NPI

Daniel Plumeri, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1447767983
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021727 Issued in NY
Practice address
600 Harlem Rd
Buffalo, NY 14224-1151
Phone
(716) 332-2121
Fax
(716) 322-2122
NPI assigned
Jan 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 021727 NY Primary

Addresses

Primary practice location

600 Harlem Rd
Buffalo, NY 14224-1151

Mailing address

600 Harlem Rd
West Seneca, NY 14224-1151
Phone (716) 332-2121

Other identifiers 2

IdentifierTypeStateIssuer
05335277MedicaidNY
J400637976OtherNYMEDICARE PTAN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003071 NY Practitioner - Physician Assistant 1254680911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

600 Harlem Rd
West Seneca, NY 14224-1151
Phone (716) 332-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021727NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Physician Assistant CurrentSince Feb 17, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Feb 17, 2020 Accepting new patients
Trinity Medical Wny PC Physician Assistant Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

600 Harlem Rd
West Seneca, NY 14224
Phone (716) 332-2121

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1447767983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241151",
            "telephone_number": "716-332-2121",
            "fax_number": "716-332-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142241151",
            "telephone_number": "716-332-2121",
            "fax_number": "716-322-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMERI",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2022-05-06",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05335277",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J400637976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.