Rachelle Booth, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

297937 Issued in NY

Practice address

30 N Union Rd Ste 102
Williamsville, NY 14221-5367

Phone

(716) 839-8000

Fax

(716) 839-8009

NPI assigned

Apr 1, 2016

Last updated

Jun 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care of Western New York LLPGroup PAC ID 5193746832, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaleida Health Hospital, Buffalo, NY, CCN 330005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachelleb@primarycarewny.medentdirect.com

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.

• Primary Care of Western New York LLP

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1205845971
  Medicare reassignment Care Compare group NPD
• Digestive Health Physicians, P.C.

  • Gastroenterology Physician
  • Cheektowaga, NY
  • NPI 1255323762
  NPD (past)
• Wheatfield Family Medicine, LLC

  • Family Medicine Physician
  • North Tonawanda, NY
  • NPI 1770627622
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaleida Health

  dba Millard Fillmore Suburban Hospital

  • General Acute Care Hospital
  • Williamsville, NY
  • NPI 1053441907
  Care Compare affiliation
• Kaleida Health

  dba Degraff Hospital

  • General Acute Care Hospital
  • North Tonawanda, NY
  • NPI 1104956358
  Care Compare affiliation
• Kaleida Health

  dba Golisano Children's Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  Care Compare affiliation
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Care Compare affiliation
• Kaleida Health

  dba Millard Fillmore Gates Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1831229780
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1538522008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION RD STE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000",
            "fax_number": "716-839-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION RD STE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000",
            "fax_number": "716-839-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "297937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Bonini, LPN
• Marissa Lynn Boniszewski
• Alyssa Bonsall, RN
• Sharon Bookbinder, MS
• Kathryn Booker, LCSW
• Jessica Borczynski, LPN
• Nicholas J Bordonaro
• Christine Bork, LMSW
• Mary Boron, RN
• Robert Borowski

• Family Medicine Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.