Individual provider Active NPI

Entela Pone, MD

  • Rheumatology Physician
  • Buffalo, NY
National Provider Identifier
1508168535
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
272508 Issued in NY
Practice address
832 Walden Ave
Buffalo, NY 14211-2639
Phone
(716) 381-9046
Fax
(716) 436-3187
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 272508 NY Primary

Addresses

Primary practice location

832 Walden Ave
Buffalo, NY 14211-2639

Mailing address

832 Walden Ave
Buffalo, NY 14211-2639
Phone (716) 381-9046

Other identifiers 1

IdentifierTypeStateIssuer
J400235162OtherNYMEDICARE NUMBER

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
I20110614000548 NY Practitioner - Rheumatology 6002093374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

832 Walden Ave
Buffalo, NY 14211-2639
Phone (716) 381-9046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003714NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pone Rheumatology PLLC Rheumatology CurrentSince Jul 27, 2015 Accepting new patients

Locations

832 Walden Ave
Buffalo, NY 14211
Phone (716) 381-9046

Interoperability endpoints

  • Direct secure messaging: entela.pone.1@13842.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13842/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1508168535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WALDEN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112639",
            "telephone_number": "716-381-9046",
            "fax_number": "716-436-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 WALDEN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112639",
            "telephone_number": "716-381-9046",
            "fax_number": "716-436-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONE",
        "first_name": "ENTELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "272508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "J400235162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.