Individual provider Active NPI

Kristin Stievater Ahrens, M.D.

  • Psychiatry Physician
  • Buffalo, NY
National Provider Identifier
1750473294
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208885 Issued in NY
Practice address
3020 Bailey Ave
Buffalo, NY 14215-2814
Phone
(716) 831-1800
NPI assigned
Sep 29, 2006
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208885 NY Primary

Addresses

Primary practice location

3020 Bailey Ave
Buffalo, NY 14215-2814

Mailing address

400 Forest Ave
Buffalo, NY 14213-1207
Phone (716) 816-2267

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
I20201211002414 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 1759313075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208885NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Services Inc PastSince Sep 1, 2019 Accepting new patients
University Psychiatric Practice, Inc Psychiatry PastSince Oct 1, 1992 Accepting new patients
Church Mission of Help of Western New York Inc PastSince Sep 20, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1750473294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOREST AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131207",
            "telephone_number": "716-816-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEVATER AHRENS",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.