Active NPI
Luther Knox Robinson, MD
- Pediatrics Physician
- Buffalo, NY
National Provider Identifier
1740363183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 170810
- Practice address
- 219 Bryant St
Buffalo, NY 14222-2006 - Phone
- (716) 878-7530
- Fax
- (716) 878-1351
- NPI assigned
- Oct 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 170810 | NY | Primary |
Addresses
Primary practice location
219 Bryant St
Buffalo, NY 14222-2006
Mailing address
184 Barton St
Buffalo, NY 14213-1573
Phone (716) 881-6191
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010149001 | Other | UNIVERA | |
| 0017511100001 | Other | PA MEDICAID | |
| I205781 | Other | IHA | |
| 01042277 | Medicaid | NY | |
| 040426000984 | Other | FIDELIS | |
| 000510280001 | Other | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1740363183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BARTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131573",
"telephone_number": "716-881-6191",
"fax_number": "716-881-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7530",
"fax_number": "716-878-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LUTHER",
"middle_name": "KNOX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "170810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010149001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAID",
"identifier": "0017511100001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "I205781",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01042277",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426000984",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000510280001",
"state": null
}
],
"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 Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.