Active NPI
Lucinda Beth Kilbury, PA
- Medical Physician Assistant
- Buffalo, NY
National Provider Identifier
1679616601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 006699
- Practice address
- 100 High St
Buffalo General Dept of Med
Buffalo, NY 14203-1126 - Phone
- (716) 859-2091
- Fax
- (716) 859-1471
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 006699 | NY | Primary |
Addresses
Primary practice location
100 High St
Buffalo General Dept of Med
Buffalo, NY 14203-1126
Mailing address
PO Box 8000
Dept 164
Buffalo, NY 14026-0002
Phone (716) 692-2160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9514354 | Other | NY | IHA |
| 00028109101 | Other | NY | UNIVERA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6699 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1679616601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"address_2": "DEPT 164",
"city": "BUFFALO",
"state": "NY",
"postal_code": "140260002",
"telephone_number": "716-692-2160",
"fax_number": "716-213-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"address_2": "BUFFALO GENERAL DEPT OF MED",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031126",
"telephone_number": "716-859-2091",
"fax_number": "716-859-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILBURY",
"first_name": "LUCINDA",
"middle_name": "BETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "006699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9514354",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00028109101",
"state": "NY"
}
],
"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 Oct 20, 2008; 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.