Individual provider Active NPI

Jeffrey J Buran, MD

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
National Provider Identifier
1598723652
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1731744 Issued in NY
Practice address
16 Degrandpre Way Ste 600
Plattsburgh, NY 12901-6454
Phone
(518) 563-0490
Fax
(518) 563-0707
NPI assigned
May 1, 2006
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 042-0016051 VT
Diagnostic Radiology Physician 2085R0202X 1731744 NY Primary

Addresses

Primary practice location

16 Degrandpre Way Ste 600
Plattsburgh, NY 12901-6454

Mailing address

PO Box 2007
East Syracuse, NY 13057-4507
Phone (315) 362-5285

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other identifiers 1

IdentifierTypeStateIssuer
01342149MedicaidNY

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
I20060208000706 NY Practitioner - Diagnostic Radiology 0749294122 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 764-1711

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7011

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

77 W Barney St
Gouverneur, NY 13642-1040
Phone (315) 287-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1731744NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Center CurrentSince Mar 1, 2023 Accepting new patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Samaritan Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Jul 5, 2023 Accepting new patients
Ali M Gharagozloo MD PC Diagnostic Radiology CurrentSince Aug 9, 2022 Accepting new patients
Seaway Radiology PC Diagnostic Radiology PastSince Apr 14, 2024 Accepting new patients
Northern Radiology Imaging Center, PLLC Diagnostic Radiology PastSince Feb 21, 2021 Accepting new patients

Locations

10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

601 E Church St
Elmira, NY 14901
Phone (607) 271-9860

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

160 Broad St
Hamilton, NY 13346
Phone (315) 824-7040

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

4693 Commercial Dr
New Hartford, NY 13413
Phone (315) 507-5114

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

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

535 Main St
Olean, NY 14760
Phone (716) 372-0141

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

110 Business Park Dr
Utica, NY 13502
Phone (315) 507-5144

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

830 Washington St
#13282
Watertown, NY 13601
Phone (315) 785-4667

Organizations & group practices 7

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 5

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1598723652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574507",
            "telephone_number": "315-362-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY STE 600",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016454",
            "telephone_number": "518-563-0490",
            "fax_number": "518-563-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURAN",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0016051",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1731744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01342149",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.