Individual provider Active NPI

Lioudmila Kaminiar, M.D.

  • Family Medicine Physician
  • Jamestown, NY
National Provider Identifier
1477960383
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
290082-01 Issued in NY
Practice address
15 S Main St Ste 250
Jamestown, NY 14701-6627
Phone
(716) 488-1878
Fax
(716) 661-4612
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 290082-01 NY Primary

Addresses

Primary practice location

15 S Main St Ste 250
Jamestown, NY 14701-6627

Mailing address

15 S Main St Ste 250
Jamestown, NY 14701-6627
Phone (716) 488-1878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lioudmila.kaminiar@upmcdirect.com

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
I20171114001440 NY Practitioner - Family Practice 5698995553 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290082-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Physician Practice PC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients

Locations

15 S Main St
Ste 250
Jamestown, NY 14701
Phone (716) 488-1878

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

15 S Main St
Ste 300
Jamestown, NY 14701
Phone (716) 488-1877

2 Hot Metal St
Pittsburgh, PA 15203
Phone (412) 235-5300

Organizations & group practices 2

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1477960383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 250",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016627",
            "telephone_number": "716-488-1878",
            "fax_number": "716-661-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 250",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016627",
            "telephone_number": "716-488-1878",
            "fax_number": "716-661-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINIAR",
        "first_name": "LIOUDMILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-01-30",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "290082-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lioudmila.kaminiar@upmcdirect.com",
            "affiliation": "N",
            "address_1": "15 S Main St Ste 250",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147016627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.