Active NPI
Kavya Madupu Rao, M.D
- Neonatal-Perinatal Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 294866
- Practice address
- 818 Ellicott St
Buffalo, NY 14203-1021 - Phone
- (716) 323-0260
- Fax
- (716) 323-0294
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 294866 | NY | Primary |
Addresses
Primary practice location
818 Ellicott St
Buffalo, NY 14203-1021
Mailing address
1001 Main St FL 5
Buffalo, NY 14203-1009
Phone (716) 323-0260
Other practice location 1
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9359
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031
100 High St
#13282
Buffalo, NY 14203
1001 Main St
Buffalo, NY 14203
Phone (716) 323-0225
100 E 77th St
Fl 3
New York, NY 10075
Phone (212) 434-2900
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Interoperability endpoints
- krao311116@northwell.direct-ci.com
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1235155581
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1609139799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 5",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 ELLICOTT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031021",
"telephone_number": "716-323-0260",
"fax_number": "716-323-0294"
}
],
"practiceLocations": [
{
"address_1": "475 Seaview Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103053436",
"country_code": "US",
"telephone_number": "718-226-9359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAO",
"first_name": "KAVYA",
"middle_name": "MADUPU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NY",
"license": "294866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.