Active NPI
Theodore Steele, PA-C
- Physician Assistant
- Buffalo, NY
National Provider Identifier
1750106340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 033388
- Practice address
- 665 Elm St
Buffalo, NY 14203-1104 - Phone
- (716) 845-2300
- NPI assigned
- Nov 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.009058RX | OH | |
| Physician Assistant | 363A00000X | 033388 | NY | Primary |
Addresses
Primary practice location
665 Elm St
Buffalo, NY 14203-1104
Mailing address
624 River Rd Unit 208
North Tonawanda, NY 14120-6576
Phone (570) 637-6863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Hospital & facility affiliations
- Roswell Park Cancer Institute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033388 | NY | MD | Physical Therapist |
| 50.009058RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients |
Locations
Dept 8000
Buffalo, NY 14267
Elm and Carlton St
Buffalo, NY 14263
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1548315401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1750106340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 RIVER RD UNIT 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141206576",
"telephone_number": "570-637-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 ELM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031104",
"telephone_number": "716-845-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "THEODORE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-19",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.009058RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "033388",
"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 Jun 6, 2025; 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.