Individual provider Active NPI

Diane Smith Annalett, M.D.

  • Geriatric Psychiatry Physician
  • Buffalo, NY
National Provider Identifier
1548277643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
2084P0805X Issued in NY
Practice address
479 Englewood Ave
Buffalo, NY 14223-2862
Phone
(716) 831-9030
Fax
(716) 831-9075
NPI assigned
Aug 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 2084P0805X NY Primary

Addresses

Primary practice location

479 Englewood Ave
Buffalo, NY 14223-2862

Mailing address

PO Box 501
Williamsville, NY 14231-0501
Phone (716) 831-9030

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
I20200108000300 NY Practitioner - PsychiatryPractitioner - Neurology 5698064541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Johns Hopkins University School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

275 Northepoint Pkwy
Suite 50
Amherst, NY 14228-1895

PO Box
Suite 1955
Buffalo, NY 14242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2084P0805XNYMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Junaid Hashim MD CurrentSince Apr 26, 2020 Accepting new patients
The Dale Association, Inc. PastSince May 29, 2020 Accepting new patients
Northtowns Psychiatry PC Past Accepting new patients

Locations

5904 Sheridan Dr
Ste 1
Williamsville, NY 14221
Phone (716) 886-5493

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548277643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142310501",
            "telephone_number": "716-831-9030",
            "fax_number": "716-831-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 ENGLEWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232862",
            "telephone_number": "716-831-9030",
            "fax_number": "716-831-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNALETT",
        "first_name": "DIANE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "2084P0805X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.