Individual provider Active NPI

Tildabeth Doscher, M.D.

  • Addiction Medicine (Preventive Medicine) Physician
  • Buffalo, NY
National Provider Identifier
1700906823
Registry record updated Jul 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
228872 Issued in NY
Practice address
1500 Broadway St
Buffalo, NY 14212-1845
Phone
(716) 893-8550
NPI assigned
Mar 30, 2007
Last updated
Jul 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 228872-1 NY
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 228872 NY Primary

Addresses

Primary practice location

1500 Broadway St
Buffalo, NY 14212-1845

Mailing address

231 Richmond Ave
Buffalo, NY 14222-2153
Phone (347) 907-3590

Other practice location 1

255 Delaware Ave
Buffalo, NY 14202-2016
Phone (716) 842-0440

Other practice location 2

100 W Nicholai St
Hicksville, NY 11801-3887
Phone (516) 788-5470

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
I20180412001485 NY Practitioner - Preventive Medicine 5092095265 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228872NYMDAddiction Medicine (Preventive Medicine) Physician
228872-1NYMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 14, 2018 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince Feb 18, 2020 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 14, 2018 Accepting new patients
Bestself Behavioral Health, Inc. Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

1500 Broadway St
Buffalo, NY 14212
Phone (716) 422-2002

158 Holden St
Buffalo, NY 14214
Phone (716) 834-0280

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1700906823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 RICHMOND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222153",
            "telephone_number": "347-907-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121845",
            "telephone_number": "716-893-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142022016",
            "country_code": "US",
            "telephone_number": "716-842-0440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Nicholai St",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013887",
            "country_code": "US",
            "telephone_number": "516-788-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSCHER",
        "first_name": "TILDABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "228872-1",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NY",
            "license": "228872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.