Individual provider Active NPI

Daniel Andrew Leary III, MD

  • Surgery Physician
  • Orchard Park, NY
National Provider Identifier
1497758064
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
143061 Issued in NY
Practice address
3041 Orchard Park Rd
D
Orchard Park, NY 14127-1208
Phone
(716) 671-8393
Fax
(716) 671-8398
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 143061 NY Primary

Addresses

Primary practice location

3041 Orchard Park Rd
D
Orchard Park, NY 14127-1208

Mailing address

3041 Orchard Park Rd
D
Orchard Park, NY 14127-1208
Phone (716) 671-8393

Other identifiers 2

IdentifierTypeStateIssuer
J400082063OtherNYMEDICARE
CS1430611OtherNYWORKERS COMPENSATION

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
I20050803000141 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 6901884923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
61.9
Improvement activities
40
Cost
78.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alvarez MD & Leary MD PC Surgery CurrentSince Jan 1, 2013 Accepting new patients
J. Steinig MD, PLLC Surgery Past Accepting new patients

Locations

1900 Ridge Rd
Ste 209
West Seneca, NY 14224
Phone (716) 671-2405

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1497758064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD",
            "address_2": "D",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271208",
            "telephone_number": "716-671-8393",
            "fax_number": "716-671-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD",
            "address_2": "D",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271208",
            "telephone_number": "716-671-8393",
            "fax_number": "716-671-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "143061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400082063",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "CS1430611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.