NPIMap

Individual provider Active NPI

Amrutha Idupuganti, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Williamsville, NY
National Provider Identifier
1497142665
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
301348 Issued in NY
Practice address
1020 Youngs Rd
Williamsville, NY 14221-2698
Phone
(716) 961-9900
NPI assigned
Apr 24, 2015
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 301348 NY Primary

Addresses

Primary practice location

1020 Youngs Rd
Williamsville, NY 14221-2698

Mailing address

71 Spinning Wheel Rd
Trumbull, CT 06611-2674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001584 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 8022355486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

1020 Youngs Rd
Suite 110
Williamsville, NY 14221-2698
Phone (716) 961-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
83.5
Promoting interoperability
62
Improvement activities
40
Cost
81.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County Current Accepting new patients
Academic Medicine Services, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Wyoming County CurrentSince Jan 28, 2024 Accepting new patients
Wyoming County Current Accepting new patients
Wyoming County Current Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients

Locations

300 Linwood Ave
Buffalo, NY 14209
Phone (716) 961-9400

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

1020 Youngs Rd
Williamsville, NY 14221
Phone (716) 636-1600

1020 Youngs Rd
Ste 110
Williamsville, NY 14221
Phone (716) 636-8284

Interoperability endpoints

  • Direct secure messaging: amruthaidupuganti@ubmd.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1497142665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SPINNING WHEEL RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDUPUGANTI",
        "first_name": "AMRUTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "301348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.