Individual provider Active NPI

Christian R Defazio, MD

  • Emergency Medicine Physician
  • Buffalo, NY
National Provider Identifier
1689627465
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
210627 Issued in NY
Practice address
Buffalo General Medical Center
100 High Street, Emergency Department
Buffalo, NY 14203
Phone
(716) 859-5600
Fax
(716) 645-9701
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 210627 NY
Emergency Medicine Physician 207P00000X 210627 NY Primary

Addresses

Primary practice location

Buffalo General Medical Center
100 High Street, Emergency Department
Buffalo, NY 14203

Mailing address

77 Goodell St
Dept of Emergency Medicine, Suite 340
Buffalo, NY 14203-5906
Phone (716) 645-9700

Other practice location 1

Erie County Medical Center
462 Grider Street, Dept of Emergency Medicine
Buffalo, NY 14215
Phone (716) 898-3000

Other identifiers 1

IdentifierTypeStateIssuer
01881290MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdefazio@direct.kaleidahealth.org Kaleida Health

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
I20080214000421 NY Practitioner - Emergency Medicine 1153404074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
76.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210627NYMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc Current Accepting new patients
University Emergency Medical Services Inc. Emergency Medicine CurrentSince Jan 1, 2008 Accepting new patients
University at Buffalo Pediatric Associates Inc PastSince Jan 1, 1998 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine Past Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

77 Goodell St
Ste 340
Buffalo, NY 14203
Phone (716) 645-9700

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

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

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

Interoperability endpoints

  • Direct secure messaging: cdefazio@direct.kaleidahealth.org

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1689627465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST",
            "address_2": "DEPT OF EMERGENCY MEDICINE, SUITE 340",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142035906",
            "telephone_number": "716-645-9700",
            "fax_number": "716-456-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUFFALO GENERAL MEDICAL CENTER",
            "address_2": "100 HIGH STREET, EMERGENCY DEPARTMENT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-859-5600",
            "fax_number": "716-645-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Erie County Medical Center",
            "address_2": "462 Grider Street, Dept of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14215",
            "country_code": "US",
            "telephone_number": "716-898-3000",
            "fax_number": "716-645-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFAZIO",
        "first_name": "CHRISTIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "210627",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "210627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01881290",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdefazio@direct.kaleidahealth.org",
            "affiliation": "Y",
            "affiliationName": "Kaleida Health",
            "address_1": "Buffalo General Medical Center",
            "address_2": "100 High Street, Emergency Department",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.