Individual provider Active NPI

Sandra Fernando Sieminski, M.D.

  • Ophthalmology Physician
  • Buffalo, NY
National Provider Identifier
1578739793
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
252535 Issued in NY
Practice address
1176 Main St
Buffalo, NY 14209
Phone
(716) 881-7900
NPI assigned
May 7, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 252535 NY Primary

Addresses

Primary practice location

1176 Main St
Buffalo, NY 14209

Mailing address

111 Park St
Buffalo, NY 14201-1526
Phone (716) 408-6906

Other identifiers 1

IdentifierTypeStateIssuer
03214899MedicaidNY

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
I20100924000276 NY Practitioner - Ophthalmology 9739205097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Ophthalmology Services IncGroup PAC ID 6103888441, 17 clinicians

Practice addresses (Care Compare)

1176 Main St
Buffalo, NY 14209-2102
Phone (716) 881-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.41 of 100Reported as group
Quality
85.08
Promoting interoperability
95
Improvement activities
40
Cost
78.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Ophthalmology Services Inc. Ophthalmology CurrentSince Jul 26, 2010 Accepting new patients

Locations

1176 Main St
Buffalo, NY 14209
Phone (716) 881-7900

3580 Sheridan Dr
Ste 150
Buffalo, NY 14226
Phone (716) 834-0100

301 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-6500

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.

Hospital & facility affiliations 2

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578739793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011526",
            "telephone_number": "716-408-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14209",
            "telephone_number": "716-881-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMINSKI",
        "first_name": "SANDRA",
        "middle_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "252535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03214899",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.