Active NPI
Brendan Raleigh, M.D.
- Family Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 287526
- Practice address
- 77 Goodell St
Suites 220 and 240
Buffalo, NY 14203 - Phone
- (716) 816-7228
- NPI assigned
- Jun 17, 2014
- Last updated
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 287526 | NY | Primary |
Addresses
Primary practice location
77 Goodell St
Suites 220 and 240
Buffalo, NY 14203
Mailing address
184 Barton St
Buffalo, NY 14213-1573
Phone (716) 881-6191
Other practice location 1
77 Goodell St
Suites 220 and 240
Buffalo, NY 14203-1243
Phone (716) 816-7228
Other practice location 2
184 Barton St
Buffalo, NY 14213-1573
Phone (716) 881-6191
Other practice location 3
77 Goodell St
Suites 220 and 240
Buffalo, NY 14203-1243
Phone (716) 816-7228
Other practice location 4
2400 Pine Ave
Niagara Falls, NY 14301-2402
Phone (716) 505-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04879503 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 Pine Ave
Niagara Falls, NY 14301-2402
Phone (716) 505-1060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287526 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services Inc | Current | Accepting new patients | |
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| Radiology Solutions Associates, PLLC | Past | Accepting new patients |
Locations
2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273
3020 Bailey Ave
Cheektowaga, NY 14215
Phone (716) 831-0200
55 Dodge Rd
Getzville, NY 14068
Phone (716) 650-5100
2400 Pine Ave
Niagara Falls, NY 14301
Phone (716) 282-1114
7616 Transit Rd
Williamsville, NY 14221
Phone (716) 204-2273
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
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.
-
- Community/Behavioral Health Agency
- Getzville, NY
- NPI 1043387152
-
dba WNY Immediate Care
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1316014491
-
- Emergency Medicine Physician
- Orchard Park, NY
- NPI 1427224625
-
- Diagnostic Radiology Physician
- Niagara Falls, NY
- NPI 1285955161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1548674609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BARTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131573",
"telephone_number": "716-881-6191",
"fax_number": "716-881-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 GOODELL ST",
"address_2": "SUITES 220 AND 240",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-816-7228"
}
],
"practiceLocations": [
{
"address_1": "77 Goodell St",
"address_2": "Suites 220 and 240",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031243",
"country_code": "US",
"telephone_number": "716-816-7228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "184 Barton St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142131573",
"country_code": "US",
"telephone_number": "716-881-6191",
"fax_number": "716-881-6247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "77 Goodell St",
"address_2": "Suites 220 and 240",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031243",
"country_code": "US",
"telephone_number": "716-816-7228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Pine Ave",
"address_purpose": "LOCATION",
"city": "Niagara Falls",
"state": "NY",
"postal_code": "143012402",
"country_code": "US",
"telephone_number": "716-505-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RALEIGH",
"first_name": "BRENDAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "287526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04879503",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.