Individual provider Active NPI

Elizabeth Ann Bowdish, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Buffalo, NY
National Provider Identifier
1457500423
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
264682 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone
(716) 845-2300
Fax
(716) 845-3549
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101271517 VA
Pediatric Surgery Physician 2086S0120X 264682-1 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 264682 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263-0001

Mailing address

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Other practice location 1

219 Bryant St
Women and Children's Hospital of Buffalo
Buffalo, NY 14222-2006
Phone (716) 878-7435

Other practice location 2

102 Highland Ave
Suite 404
Roanoke, VA 24013
Phone (540) 985-9812

Other identifiers 1

IdentifierTypeStateIssuer
04272377MedicaidNY

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
I20151106000131 NY Practitioner - Critical Care (Intensivists)Practitioner - General SurgeryPractitioner - Pediatric Medicine 5193035962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pediatric Medicine
Education
Boston University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

  • Roswell Park Cancer Institute Hospital, Buffalo, NY, CCN 330354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264682-1NYMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health CurrentSince Oct 1, 2015 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Oct 1, 2015 Accepting new patients
Roswell Park Cancer Institute CurrentSince Mar 1, 2022 Accepting new patients
Roswell Park Cancer Institute CurrentSince Mar 1, 2022 Accepting new patients

Locations

1001 Main St
Buffalo, NY 14203
Phone (716) 323-0225

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

Elm and Carlton St
Buffalo, NY 14263

1001 Main St
Fl 3
Buffalo, NY 14203
Phone (716) 323-6030

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
#13282
Buffalo, NY 14203

Dept 8000
Buffalo, NY 14267

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

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.

Hospital & facility affiliations 1

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1457500423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-3549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Bryant St",
            "address_2": "Women and Children's Hospital of Buffalo",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142222006",
            "country_code": "US",
            "telephone_number": "716-878-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Highland Ave",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24013",
            "country_code": "US",
            "telephone_number": "540-985-9812",
            "fax_number": "540-985-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDISH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101271517",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "264682-1",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "264682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04272377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.