Individual provider Active NPI

David A Paul, MD

  • Diagnostic Radiology Physician
  • Buffalo, NY
National Provider Identifier
1508807769
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1417511 Issued in NY
Practice address
2828 Main St
Buffalo, NY 14214-1722
Phone
(716) 838-1300
Fax
(716) 837-7725
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1417511 NY Primary

Addresses

Primary practice location

2828 Main St
Buffalo, NY 14214-1722

Mailing address

2 Richmond Ave
Batavia, NY 14020-1408

Other identifiers 7

IdentifierTypeStateIssuer
01065269MedicaidNY
100891FFOtherPREFERRED CARE
P00048700OtherRAILROAD MEDICARE
00025104403OtherUNIVERA
000510203004OtherBLUE SHIELD OF WESTERN NY
5606193OtherINDEPENDANT HEALTH
R1417318OtherNYWORKERS 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
I20041209000143 NY Practitioner - Diagnostic Radiology 0446216626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2828 Main St
Buffalo, NY 14214-1722
Phone (716) 838-1300

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1417511NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Mobile X-Ray Inc CurrentSince Mar 1, 2012 Accepting new patients
Diagnostic X-Ray Service, Inc. Diagnostic Radiology CurrentSince Sep 1, 2004 Accepting new patients
Diagnostic X-Ray Service, Inc. Past Accepting new patients
Rochester Mobile X-Ray, Inc. Past Accepting new patients
Physicians Mobile X-Ray, Inc Past Accepting new patients
Saturn Radiology PLLC Diagnostic Radiology Past Accepting new patients
Physician's Mobile X-Ray, Inc. Past Accepting new patients

Locations

6000 N Bailey Ave
#1B
Buffalo, NY 14226
Phone (716) 362-8775

4242 Ridge Lea Rd
Ste 1
Buffalo, NY 14226
Phone (814) 459-6280

6000 N Bailey Ave
Buffalo, NY 14226
Phone (716) 712-0858

2828 Main St
Buffalo, NY 14214
Phone (716) 362-8775

1769 W 26th St
Erie, PA 16508
Phone (800) 446-9729

Organizations & group practices 7

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1508807769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RICHMOND AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141722",
            "telephone_number": "716-838-1300",
            "fax_number": "716-837-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1417511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01065269",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100891FF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00048700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025104403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF WESTERN NY",
            "identifier": "000510203004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "5606193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "R1417318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.