Individual provider Active NPI

Baiba Senbruna, MD

  • Anesthesiology Physician
  • Buffalo, NY
National Provider Identifier
1558863514
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
294545 Issued in NY
Practice address
818 Ellicott St.
Buffalo, NY 14203
Phone
(713) 323-6570
Fax
(716) 323-6658
NPI assigned
Mar 6, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 294545 NY Primary

Addresses

Primary practice location

818 Ellicott St.
Buffalo, NY 14203

Mailing address

1001 Main St.
Suite K-3502
Buffalo, NY 14203
Phone (716) 323-6570

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
I20180720000705 NY Practitioner - Anesthesiology 3779830880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Anesthesiology PCGroup PAC ID 7113997529, 90 clinicians

Practice addresses (Care Compare)

3095 Harlem Rd
Cheektowaga, NY 14225-2500
Phone (716) 323-6570

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-6570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294545NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Anesthesiology, PC CurrentSince Jul 1, 2018 Accepting new patients

Locations

1001 Main St
Ste K3502
Buffalo, NY 14203
Phone (716) 323-6576

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

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

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

50 George Karl Blvd
Williamsville, NY 14221
Phone (716) 323-6579

Organizations & group practices 1

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1558863514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST.",
            "address_2": "SUITE K-3502",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-323-6570",
            "fax_number": "716-323-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 ELLICOTT ST.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "713-323-6570",
            "fax_number": "716-323-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENBRUNA",
        "first_name": "BAIBA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "294545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.