NPIMap

Individual provider Active NPI

Ernesto Leon Velarde Carreno, M.D

  • Nephrology Physician
  • Buffalo, NY
National Provider Identifier
1619402609
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
64329 Issued in AZ
Practice address
462 Grider St Ste 1152
Buffalo, NY 14215-3021
Phone
(716) 898-4803
NPI assigned
Apr 27, 2017
Reactivated
Oct 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 64329 AZ Primary

Addresses

Primary practice location

462 Grider St Ste 1152
Buffalo, NY 14215-3021

Mailing address

462 Grider St Ste 1152
Buffalo, NY 14215-3021
Phone (716) 898-4803

Other practice location 1

2771 Silver Creek Rd Ste 120
Bullhead City, AZ 86442-8023
Phone (928) 763-7722

Other identifiers 1

IdentifierTypeStateIssuer
124036MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220510001588 AZ Practitioner - NephrologyPractitioner - Internal Medicine 3779820220 Reassigns benefits to 1 organization
I20250624000566 NY Practitioner - Internal Medicine 3779820220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.64 of 100Reported as individual
Quality
82.18
Promoting interoperability
100
Improvement activities
40
Cost
80

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334408NYMDLicensed Practical Nurse
64329AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince May 2, 2022 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Academic Medicine Services, Inc. Internal Medicine CurrentSince Aug 4, 2025 Accepting new patients
Akdhc, LLC Nephrology CurrentSince May 2, 2022 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients

Locations

2771 Silver Creek Rd
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7722

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

462 Grider St
Ste 1152
Buffalo, NY 14215
Phone (716) 898-4803

4498 Main St
Ste 23
Buffalo, NY 14226

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

Interoperability endpoints

  • Direct secure messaging: ernestoleonvelardecarreno@ubmd.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1619402609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST STE 1152",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST STE 1152",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-4803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2771 Silver Creek Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428023",
            "country_code": "US",
            "telephone_number": "928-763-7722",
            "fax_number": "928-763-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON VELARDE CARRENO",
        "first_name": "ERNESTO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "deactivation_date": "2017-11-29",
        "reactivation_date": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "64329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.