Kalyan K. Shastri M.D. PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

KALYAN K. SHASTRI M.D. PLLC

Practice address

2950 Elmwood Ave
Buffalo, NY 14217-1304

Phone

(716) 462-4600

Fax

(716) 462-4645

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kalyan K Shastri, MDNPI 1275794554

Title

Owner

Phone

(716) 462-4600

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kalyan K Shastri, MD

  • Neurology Physician
  • Buffalo, NY
  • NPI 1275794554
  Medicare reassignment NPD Authorized official
• Syntyia La'Tierra Taylor, NP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1215408372
  Medicare reassignment NPD
• Amy L Heyden, RN, MS, ANP

  • Adult Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1952633059

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1477220770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140680004",
            "telephone_number": "716-462-4600",
            "fax_number": "716-462-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-462-4600",
            "fax_number": "716-462-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALYAN K. SHASTRI M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SHASTRI",
        "authorized_official_first_name": "KALYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-462-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexey Kalinin
• Sharen Kalisz
• Charlene Kalosza
• Mohamad Kalot
• Ashley Kalstek
• Robel Kamal, MD
• Dao Kamara, MSW
• Sandra Kamel, M.D.
• Pamela Kaminska
• Sandra J. Kaminski, OTR/L

• Neurology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.