Active NPI
Christian R Defazio, MD
- Emergency Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 210627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01881290 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89 of 100
- Quality
- 76.13
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210627 | NY | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| University Emergency Medical Services Inc. | Emergency Medicine | Current | Accepting new patients |
| University at Buffalo Pediatric Associates Inc | Past | 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
- 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.
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.