Individual provider Active NPI

Anshu Bais, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Buffalo, NY
National Provider Identifier
1548379100
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
261454 Issued in NY
Practice address
430 S Park Ave
Buffalo, NY 14204-2618
Phone
(716) 847-6610
Fax
(716) 854-3052
NPI assigned
Aug 29, 2006
Last updated
May 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 261454 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 261454 NY Primary

Addresses

Primary practice location

430 S Park Ave
Buffalo, NY 14204-2618

Mailing address

430 S Park Ave
Buffalo, NY 14204-2618
Phone (716) 847-6610

Other identifiers 6

IdentifierTypeStateIssuer
00027324401OtherNYUNIVERA
051105000027OtherNYFIDELIS
02686395MedicaidNY
0412972OtherNYINDEPENDENT HEALTH
000528279001OtherNYBLUE CROSS
161070314OtherNYNOVA

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
I20050826000492 NY Practitioner - Internal MedicinePractitioner - Hospitalist 6901837145 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group, New York, PCGroup PAC ID 4587793294, 117 clinicians

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002406NYMDMarriage & Family Therapist
261454NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Apr 19, 2017 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Internal Medicine CurrentSince Jun 1, 1997 Accepting new patients
Kaleida Health Current Accepting new patients
Great Lakes Physician Practice PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated CurrentSince Sep 1, 2018 Accepting new patients
Kaleida Health CurrentSince Apr 19, 2017 Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

Elm and Carlton St
Buffalo, NY 14263

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

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

515 Main St
Olean, NY 14760
Phone (716) 373-2600

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1548379100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042618",
            "telephone_number": "716-847-6610",
            "fax_number": "716-854-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S PARK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042618",
            "telephone_number": "716-847-6610",
            "fax_number": "716-854-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIS",
        "first_name": "ANSHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "261454",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "261454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027324401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "051105000027",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02686395",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0412972",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000528279001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161070314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.