Individual provider Active NPI

Alan C Smith, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Orchard Park, NY
National Provider Identifier
1477509602
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
146797 Issued in NY
Practice address
6400 Powers Rd
Orchard Park, NY 14127-4841
Phone
(716) 667-0001
NPI assigned
May 26, 2006
Last updated
Jul 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 146797 NY Primary

Addresses

Primary practice location

6400 Powers Rd
Orchard Park, NY 14127-4841

Mailing address

2875 Union Road
Suite 8
Cheektowaga, NY 14227-1461
Phone (716) 651-0911

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
I20050516000097 NY Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 1850299496 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients
McAuley Residence Past Accepting new patients
John a. Brach, MD, PC Past Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients
Niagara Hospitalist, PC Past Accepting new patients
Buffalo Emergency Associates LLP Past Accepting new patients
Endion Medical Healthcare PC Past Accepting new patients
Geriatric Associates, LLP Past Accepting new patients
Edrnc Operating LLC Past Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1477509602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 UNION ROAD",
            "address_2": "SUITE 8",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271461",
            "telephone_number": "716-651-0911",
            "fax_number": "716-651-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 POWERS RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274841",
            "telephone_number": "716-667-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "146797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.