Individual provider Active NPI

Adeel Amir, D.O.

  • Family Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1558712489
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
298828 Issued in NY
Practice address
1089 Kinkead Ave Ste 111
North Tonawanda, NY 14120
Phone
(716) 694-0535
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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 298828 NY Primary

Addresses

Primary practice location

1089 Kinkead Ave Ste 111
North Tonawanda, NY 14120

Mailing address

1089 Kinkead Ave Ste 111
North Tonawanda, NY 14120-2840
Phone (716) 694-0535

Other practice location 1

301 Eleventh St
Municipal Building, Suite C
New Kensington, PA 15068-6179
Phone (412) 334-3640

Other practice location 2

301 Eleventh St
Municipal Building, Suite C
New Kensington, PA 15068-6179
Phone (412) 334-3640

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
I20190806002673 NY Practitioner - Family Practice 9335436641 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Aug 1, 2019 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Aug 1, 2019 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Aug 1, 2019 Accepting new patients

Locations

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

1089 Kinkead Ave
Ste 111
North Tonawanda, NY 14120
Phone (716) 694-0535

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1558712489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 KINKEAD AVE STE 111",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202840",
            "telephone_number": "716-694-0535",
            "fax_number": "716-694-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 KINKEAD AVE STE 111",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-694-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Eleventh St",
            "address_2": "Municipal Building, Suite C",
            "address_purpose": "LOCATION",
            "city": "New Kensington",
            "state": "PA",
            "postal_code": "150686179",
            "country_code": "US",
            "telephone_number": "412-334-3640",
            "fax_number": "412-334-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Eleventh St",
            "address_2": "Municipal Building, Suite C",
            "address_purpose": "LOCATION",
            "city": "New Kensington",
            "state": "PA",
            "postal_code": "150686179",
            "country_code": "US",
            "telephone_number": "412-334-3640",
            "fax_number": "412-334-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIR",
        "first_name": "ADEEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "298828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.