Individual provider Active NPI

Katie Konesky, M.D.

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1679927339
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
312455 Issued in NY
Practice address
6044 Main St Ste 110
Williamsville, NY 14221-6883
Phone
(716) 833-7112
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 312455 NY
Surgery Physician 208600000X 312455 NY Primary

Addresses

Primary practice location

6044 Main St Ste 110
Williamsville, NY 14221-6883

Mailing address

77 Goodell St Ste 320
Buffalo, NY 14203-1243
Phone (716) 888-4889

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
I20211109003512 NY Practitioner - General Surgery 6507103538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Buffalo School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Surgeons IncGroup PAC ID 4183612799, 40 clinicians
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-5600

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Olean General Hospital Hospital, Olean, NY, CCN 330103

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312455NYMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc Current Accepting new patients
Kaleida Health CurrentSince Jul 1, 2022 Accepting new patients
Kaleida Health CurrentSince Jul 1, 2022 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health Current Accepting new patients
University at Buffalo Surgeons Inc Surgery CurrentSince Dec 1, 2021 Accepting new patients
General Physician, PC PastSince Oct 16, 2022 Accepting new patients
Academic Medicine Services, Inc. PastSince Oct 16, 2022 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

77 Goodell St
Ste 240
Buffalo, NY 14203
Phone (716) 816-7228

77 Goodell St
Ste 320
Buffalo, NY 14203

100 High St
#13282
Buffalo, NY 14203

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

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

111 N Maplemere Rd
Ste 150
Williamsville, NY 14221
Phone (716) 626-2644

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Interoperability endpoints

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

Organizations & group practices 9

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 8

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1679927339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST STE 320",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031243",
            "telephone_number": "716-888-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 MAIN ST STE 110",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216883",
            "telephone_number": "716-833-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONESKY",
        "first_name": "KATIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "312455",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "312455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.