Individual provider Active NPI

Kevin F. McMahon, M.D.

  • Anesthesiology Physician
  • Amherst, NY
National Provider Identifier
1649205196
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
202485-1 Issued in NY
Practice address
3112 Sheridan Drive
Amherst, NY 14226-1904
Phone
(716) 831-9435
Fax
(716) 831-9475
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 202485-1 NY Primary

Addresses

Primary practice location

3112 Sheridan Drive
Amherst, NY 14226-1904

Mailing address

PO Box 3478
Buffalo, NY 14240-3478
Phone (716) 634-8800

Other identifiers 1

IdentifierTypeStateIssuer
01647158MedicaidNY

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
I20070216000494 NY Practitioner - Anesthesiology 9032211370 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202485-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Medical Anesthesia Service, PC Anesthesiology CurrentSince Oct 1, 2006 Accepting new patients
Wny Medical Management, LLC CurrentSince Dec 6, 2024 Accepting new patients
Parkside Medical Anesthesia Associates Anesthesiology Past Accepting new patients

Locations

3112 Sheridan Dr
Buffalo, NY 14226
Phone (716) 343-7979

945 Sweet Home Rd
Buffalo, NY 14226
Phone (716) 831-9435

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1649205196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3478",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142403478",
            "telephone_number": "716-634-8800",
            "fax_number": "716-650-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 SHERIDAN DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261904",
            "telephone_number": "716-831-9435",
            "fax_number": "716-831-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KEVIN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "202485-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01647158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.