Individual provider Active NPI

Miranda Batorski, PA

  • Physician Assistant
  • Orchard Park, NY
National Provider Identifier
1679125405
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023645 Issued in NY
Practice address
5959 Big Tree Rd Ste 108
Orchard Park, NY 14127-2291
Phone
(716) 204-3200
NPI assigned
Jul 11, 2019
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023645 NY Primary

Addresses

Primary practice location

5959 Big Tree Rd Ste 108
Orchard Park, NY 14127-2291

Mailing address

University Orthopaedic Services Inc.
4225 Genesee Street
Cheektowaga, NY 14225
Phone (716) 204-3200

Other identifiers 1

IdentifierTypeStateIssuer
023645OtherNYNYS OFFICE OF THE PROFESSIONS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805000531 NY Practitioner - Physician Assistant 3779810437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 Farber Hall
Buffalo, NY 14214-8001
Phone (716) 829-2070

5959 Big Tree Rd
Orchard Park, NY 14127-2210
Phone (716) 204-3200

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023645NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopaedic Services Inc. CurrentSince Jul 9, 2019 Accepting new patients

Locations

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997

111 N Maplemere Rd
Ste 100
Williamsville, NY 14221
Phone (716) 810-7997

Interoperability endpoints

  • Direct secure messaging: mlabedz@ubortho.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1679125405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY ORTHOPAEDIC SERVICES INC.",
            "address_2": "4225 GENESEE STREET",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-204-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD STE 108",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-204-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATORSKI",
        "first_name": "MIRANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF THE PROFESSIONS",
            "identifier": "023645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.