Active NPI
David L Hallasey-Roberts, MD
- Family Medicine Physician
- West Seneca, NY
National Provider Identifier
1750348082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 175084
- Practice address
- 1026 Union Rd
West Seneca, NY 14224-3445 - Phone
- (716) 712-1000
- Fax
- (716) 712-0853
- NPI assigned
- Apr 28, 2006
- Last updated
- Jul 27, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 175084 | NY | Primary |
Addresses
Primary practice location
1026 Union Rd
West Seneca, NY 14224-3445
Mailing address
1026 Union Rd
West Seneca, NY 14224-3445
Phone (716) 712-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01538949 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks-TLC Hospital System, Inc. | Current | Accepting new patients | |
| Southgate Medical Group,LLP | Past | Accepting new patients | |
| John P. Ward | Family Medicine | Past | Accepting new patients |
Locations
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
34 Commercial St
Gowanda, NY 14070
Phone (716) 532-3377
Interoperability endpoints
- david.hallasey@btlc.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Dunkirk, NY
- NPI 1215917224
-
- Family Medicine Physician
- East Aurora, NY
- NPI 1902093800
-
- Internal Medicine Physician
- West Seneca, NY
- NPI 1487611927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1750348082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243445",
"telephone_number": "716-712-1000",
"fax_number": "716-712-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243445",
"telephone_number": "716-712-1000",
"fax_number": "716-712-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLASEY-ROBERTS",
"first_name": "DAVID",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "175084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01538949",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.