Individual provider Active NPI

Rafiqa Fazili

  • Specialist
  • West Amherst, NY
National Provider Identifier
1477965606
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
128548-1 Issued in NY
Practice address
1 Sylvan Pkwy
West Amherst, NY 14228-1134
Phone
(716) 568-5248
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 128548-1 NY Primary

Addresses

Primary practice location

1 Sylvan Pkwy
West Amherst, NY 14228-1134

Mailing address

1 Sylvan Pkwy
West Amherst, NY 14228-1134

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
I20180614001274 NY Practitioner - Pathology 5991050957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Pathologists IncGroup PAC ID 3375437007, 23 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

115 Flint Rd
Williamsville, NY 14221-3058
Phone (716) 626-7200

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.07 of 100Reported as group
Quality
81.55
Improvement activities
40
Cost
75.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128548-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pathologists, Inc CurrentSince Apr 6, 2020 Accepting new patients
Southtowns Gastroenterology, PLLC CurrentSince May 1, 2018 Accepting new patients

Locations

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

310 Sterling Dr
Ste 105
Orchard Park, NY 14127
Phone (716) 675-7730

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1477965606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SYLVAN PKWY",
            "city": "WEST AMHERST",
            "state": "NY",
            "postal_code": "142281134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SYLVAN PKWY",
            "city": "WEST AMHERST",
            "state": "NY",
            "postal_code": "142281134",
            "telephone_number": "716-568-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZILI",
        "first_name": "RAFIQA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "128548-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Amherst, NY

Sources for this page

Verify at the official NPI Registry.