Active NPI
Katie T Carlberg, M.D.
- Pediatric Hematology & Oncology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 60861185
- Practice address
- Elm and Carlton St
Buffalo, NY 14263-0001 - Phone
- (716) 845-2300
- NPI assigned
- Jul 20, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 326468 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A131629 | CA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 60861185 | WA | Primary |
Addresses
Primary practice location
Elm and Carlton St
Buffalo, NY 14263-0001
Mailing address
747 52ND Street
Children's Hospital and Research Center Oakland
Oakland, CA 94609-1809
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 Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Main St
Suite 300
Buffalo, NY 14202-1102
Phone (716) 218-4014
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131629 | CA | MD | Pediatrics Physician |
| 60861185 | WA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
| Western New York Bloodcare, Inc. | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
Dept 8000
Buffalo, NY 14267
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
Elm and Carlton St
Buffalo, NY 14263
1010 Main St
Ste 300
Buffalo, NY 14202
Phone (716) 218-4014
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031
St
Buffalo, NY 14263
Interoperability endpoints
- katiecarlberg@wnybloodcare.medentdirect.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Buffalo, NY
- NPI 1952433757
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1699063933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND STREET",
"address_2": "CHILDREN'S HOSPITAL AND RESEARCH CENTER OAKLAND",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLBERG",
"first_name": "KATIE",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NY",
"license": "326468",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A131629",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "WA",
"license": "60861185",
"primary": true
}
],
"identifiers": [],
"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 Jan 19, 2024; 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.