NPIMap

Organization Active NPI

Kaleida Health

  • Rehabilitation Hospital Unit
  • Buffalo, NY
National Provider Identifier
1689708109
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
KALEIDA HEALTH
Practice address
100 High St
Rehabilitation Unit
Buffalo, NY 14203-1126
Phone
(716) 859-8396
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
KALEIDA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Angela H McCrorey
Title
Ar Manager
Phone
(716) 859-8313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NY Primary

Addresses

Primary practice location

100 High St
Rehabilitation Unit
Buffalo, NY 14203-1126

Mailing address

726 Exchange St
Suite 300
Buffalo, NY 14210-1484
Phone (716) 859-7200

Other identifiers 1

IdentifierTypeStateIssuer
03002408MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000192 NY Part A Provider - Hospital 7810805280 Practice locations: Buffalo, NY

Hospital certification: CCN 33T005

Legal name
KALEIDA HEALTH
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1998 in NY
Enrollment address
100 High St
Buffalo, NY 14203-1126
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Kaleida HealthCCN 33T005
Ownership
Non-profit
Certified
Jan 1, 1988

National Provider Directory

National Provider Directory
Tax ID family
Mary George31 organizations share this tax ID, including this one
Part of
Mary George

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Ownership & related parties

All disclosed owners & managing parties 31

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Prudential Huntoon Paige Associates LTC Isaoa Organization, Dallas, TX Financial institution 5% Or Greater Mortgage Interest Apr 1, 1998 32.61%
Matthew D Drake Individual Corporate OfficerChief Financial Officer Dec 5, 2021
W-2 Managing EmployeeChief Financial Officer Dec 5, 2021
Corin Silvestrini Individual W-2 Managing Employee Apr 1, 2024
Mary Lou Rusin Individual Corporate DirectorBoard Member May 1, 2015
Ian Barrett Individual Corporate OfficerChief Human Resource Officer Oct 1, 2022
Jo Ann Ormond Individual W-2 Managing EmployeeDirector Patient Financial Services Aug 19, 2019
Donald Boyd Individual Corporate OfficerPresident, Ceo Jul 11, 2022
Corporate DirectorBoard Member Jul 22, 2022
Paul O'Leary Individual Corporate DirectorBoard Member Apr 1, 2018
Jennifer Dunn Individual W-2 Managing Employee Apr 1, 2024
Timothy G McEvoy Individual Corporate DirectorBoard Member Jun 1, 2019
Kenneth V Snyder Individual Corporate OfficerChief Physician Quality Officer Apr 1, 2022
Michael P Hughes Individual Corporate OfficerSr VP Chief Administration Officer Sep 1, 2014
K Kent Chevli Individual Corporate DirectorBoard Member Apr 1, 2022
George E Matthews Individual Corporate DirectorBoard Member May 1, 2008
Shannon Bryant Individual Corporate OfficerChief Diversity & Inclusion Officer Dec 1, 2020
Alyson Spaulding Individual Corporate OfficerGeneral Counsel Aug 1, 2014
Jamie N Nadler Individual Corporate OfficerChief Quality Officer Apr 1, 2022
Thomas Beauford Individual Corporate DirectorBoard Member Apr 1, 2022
Christopher D Ross Individual Corporate DirectorBoard Member May 1, 2015
Lorrie Clemo Individual Corporate DirectorBoard Member May 1, 2017
Abeer Eddib Individual Corporate DirectorBoard Member Jun 1, 2019
Kaleida Health Organization, Buffalo, NY Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1998 100%
Nicholas J Aquino Individual Corporate DirectorBoard Member May 1, 2015
Michael J Mineo Individual Corporate OfficerChief Medical Officer Jul 1, 2022
John Persons Individual Corporate DirectorBoard Member Apr 1, 2022
Gary Crosby Individual Corporate DirectorBoard Chair May 1, 2017
Marjorie Quint-Bouzid Individual Corporate OfficerChief Nurse Executive Apr 1, 2024
W-2 Managing Employee Apr 1, 2024
Muhammed Javed Individual Corporate DirectorBoard Member May 1, 2019
Hugh Chisholm Individual Corporate OfficerCfo/Exec VP Apr 1, 2024
W-2 Managing Employee Apr 1, 2024
William Maggio Individual Corporate DirectorBoard Member May 1, 2015
Angela McCrorey Individual W-2 Managing EmployeeSupervisor Claims PFS Jun 1, 2019

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaleida HealthBuffalo, NY, CCN 330005 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1998
Degraff Memorial Hospital-Skilled Nursing FacilityNorth Tonawanda, NY, CCN 335669 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1998
Highpointe on Michigan HCFBuffalo, NY, CCN 335834 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 3, 2011
Visiting Nursing Association of Western New York, Inc.Cheektowaga, NY, CCN 337006 Home health agency 5% Or Greater Direct Ownership Interest Jan 9, 2007

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1689708109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101484",
            "telephone_number": "716-859-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "address_2": "REHABILITATION UNIT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDA HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KALEIDA HEALTH",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MCCROREY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "716-859-8313"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03002408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.