Individual provider Active NPI

Jamal Ansari, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1477044477
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
312361 Issued in NY
Practice address
462 Grider St
Department of Medicine
Buffalo, NY 14216
Phone
(716) 898-3941
Fax
(716) 898-3279
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 312361 NY Primary

Addresses

Primary practice location

462 Grider St
Department of Medicine
Buffalo, NY 14216

Mailing address

462 Grider St
Department of Medicine
Buffalo, NY 14216
Phone (716) 898-3941

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
I20211012002048 NY Practitioner - HospitalistPractitioner - Internal Medicine 2264779529 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Sep 1, 2022 Accepting new patients
Kaleida Health CurrentSince Sep 1, 2022 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Sep 13, 2021 Accepting new patients
Kaleida Health Current Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

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

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

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

515 Main St
Olean, NY 14760
Phone (716) 373-2600

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1477044477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-898-3941",
            "fax_number": "716-898-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14216",
            "telephone_number": "716-898-3941",
            "fax_number": "716-898-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "312361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.