NPIMap

Individual provider Active NPI

Michael A Pell, MD

  • Vascular Surgery Physician
  • West Seneca, NY
National Provider Identifier
1710987128
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
198878 Issued in NY
Practice address
550 Orchard Park Rd
A103
West Seneca, NY 14224-2646
Phone
(716) 677-5500
Fax
(716) 677-5008
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 198878 NY Primary

Addresses

Primary practice location

550 Orchard Park Rd
A103
West Seneca, NY 14224-2646

Mailing address

550 Orchard Park Rd
A103
West Seneca, NY 14224-2646
Phone (716) 677-5500

Other identifiers 5

IdentifierTypeStateIssuer
00010197101OtherNYUNIVERA
1708440OtherNYINDEPENDENT HEALTH
S1988781OtherNYWORKERS COMPENSATION
01651981MedicaidNY
3174894OtherNYAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000422 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 2668400326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Michael a Pell MD PCGroup PAC ID 9234364647, 2 clinicians

Practice addresses (Care Compare)

700 Michigan Ave
Buffalo, NY 14203-1536
Phone (716) 854-5700

700 Michigan Ave
Buffalo, NY 14203-1537

Hospital & facility affiliations

  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Pell, MD PC CurrentSince Apr 1, 2013 Accepting new patients
Arrant Surgical Past Accepting new patients
Surgical Associates of Western Ny PC Past Accepting new patients
J. Steinig MD, PLLC Past Accepting new patients

Locations

700 Michigan Ave
Buffalo, NY 14203
Phone (716) 854-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/457/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1710987128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "A103",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-677-5500",
            "fax_number": "716-677-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "A103",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-677-5500",
            "fax_number": "716-677-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELL",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "198878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010197101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1708440",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "S1988781",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01651981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3174894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.