Individual provider Active NPI

Maira Ilahi, DO

  • Family Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1548828015
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
317469 Issued in NY
Practice address
6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080
Phone
(716) 215-9059
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 317469 NY Primary

Addresses

Primary practice location

6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080

Mailing address

6934 Williams Rd Ste 200
Niagara Falls, NY 14304-3080

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
I20220805002465 NY Practitioner - Family Practice 2264814359 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317469NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Aug 1, 2022 Accepting new patients
2600 Niagara Falls Boulevard Operating Company LLC Past Accepting new patients
Kaleida Health Past Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

Interoperability endpoints

  • Direct secure messaging: milahi@gppc.medentdirect.com

Organizations & group practices 3

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1548828015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 200",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 200",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043080",
            "telephone_number": "716-215-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAHI",
        "first_name": "MAIRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "317469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.