Active NPI
Kailey Sullivan
- Diagnostic Radiology Physician
- Buffalo, NY
National Provider Identifier
1457885501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 79512
- Practice address
- 462 Grider St
Buffalo, NY 14215-3021 - Phone
- (716) 898-5210
- NPI assigned
- Apr 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS021941 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 79512 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
51 Westcliff Dr
West Seneca, NY 14224-2837
Phone (716) 807-2160
Other practice location 1
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4207
Other practice location 2
169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6414
Other practice location 3
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7732
Other practice location 4
460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 721-4840
Other practice location 5
40 V Twin Dr Ste 102
Gettysburg, PA 17325-7878
Phone (717) 339-2640
Other practice location 6
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0785
Other practice location 7
35 Monument Rd Ste 201
York, PA 17403-5074
Phone (717) 812-4083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131
396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131
42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132
42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- Healthalliance Hospital Marys Avenue Campus
- Margaretville Memorial Hospital
- Westchester Medical Center
- Vassar Brothers Medical Center
- Northern Dutchess Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79512 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Southtowns Radiology Associates,LLC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Southtowns Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients |
Locations
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 7
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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Diagnostic Neuroimaging (Radiology) Physician
- West Seneca, NY
- NPI 1477767986
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- Critical Access Hospital
- Margaretville, NY
- NPI 1164473039
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1457885501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 WESTCLIFF DR",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242837",
"telephone_number": "716-807-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-5210"
}
],
"practiceLocations": [
{
"address_1": "147 Gettys St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252534",
"country_code": "US",
"telephone_number": "717-337-4207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Martin Ave",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-738-6414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "460 N Reading Rd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175229606",
"country_code": "US",
"telephone_number": "717-721-4840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 V Twin Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173257878",
"country_code": "US",
"telephone_number": "717-339-2640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Monument Rd Ste 201",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035074",
"country_code": "US",
"telephone_number": "717-812-4083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-16",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OS021941",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "79512",
"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 Jul 27, 2026; 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.