Individual provider Active NPI

Jodi Susan Ball, MD

  • Obstetrics & Gynecology Physician
  • Kenmore, NY
National Provider Identifier
1578881058
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
275656 Issued in NY
Practice address
3834 Delaware Ave
Kenmore, NY 14217-1039
Phone
(716) 877-1221
NPI assigned
May 10, 2010
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 275656 NY Primary

Addresses

Primary practice location

3834 Delaware Ave
Kenmore, NY 14217-1039

Mailing address

3834 Delaware Ave
Kenmore, NY 14217-1039
Phone (716) 983-7907

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
I20140821000350 NY Practitioner - Obstetrics/Gynecology 8729206412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

5214 Main St
Suite 100
Williamsville, NY 14221-5373
Phone (716) 846-1190

897 Delaware Ave
Suite 301
Buffalo, NY 14209-2087
Phone (716) 846-1190

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Feb 22, 2021 Accepting new patients
Trinity Medical Wny PC Obstetrics & Gynecology CurrentSince Feb 22, 2021 Accepting new patients
General Physician, PC PastSince Aug 1, 2014 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

897 Delaware Ave
Ste 301
Buffalo, NY 14209
Phone (716) 846-1190

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

Interoperability endpoints

  • Direct secure messaging: jball20644@direct.chsbuffalo.org

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.

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": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1578881058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171039",
            "telephone_number": "716-983-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171039",
            "telephone_number": "716-877-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "JODI",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "275656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.