Individual provider Active NPI

Deepa Gosine

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1508158304
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
281670 Issued in NY
Practice address
300 Linwood Ave
Buffalo, NY 14209-1802
Phone
(716) 961-9412
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 281670 NY
Internal Medicine Physician 207R00000X 281670 NY Primary

Addresses

Primary practice location

300 Linwood Ave
Buffalo, NY 14209-1802

Mailing address

300 Linwood Ave
Buffalo, NY 14209-1802
Phone (716) 961-9400

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
I20151026000242 NY Practitioner - Internal Medicine 5991014326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ub Family Medicine IncGroup PAC ID 1658361381, 37 clinicians

Practice addresses (Care Compare)

1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 323-0569

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281670NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Medicine Services, Inc. Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Ub Family Medicine, Inc CurrentSince Jan 1, 2024 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients

Locations

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

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

77 Goodell St
Ste 240
Buffalo, NY 14203
Phone (716) 816-7228

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

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

Interoperability endpoints

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

Organizations & group practices 3

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 6

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1508158304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091802",
            "telephone_number": "716-961-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091802",
            "telephone_number": "716-961-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSINE",
        "first_name": "DEEPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "281670",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.