Individual provider Active NPI

Megan Kate Tracy, MD

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1770770141
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
245489 Issued in NY
Practice address
1001 Main St
Buffalo, NY 14203-1009
Phone
(716) 323-0260
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 245489 NY Primary

Addresses

Primary practice location

1001 Main St
Buffalo, NY 14203-1009

Mailing address

University at Buffalo Pediatric Associates
1001 Main St FL 5
Buffalo, NY 14203-1009
Phone (716) 323-0260

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
I20190603000258 NY Practitioner - Pediatric Medicine 4587997861 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245489NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Apr 26, 2020 Accepting new patients
Kaleida Health CurrentSince Apr 26, 2020 Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics CurrentSince Apr 21, 2019 Accepting new patients
Kaleida Health Past Accepting new patients

Locations

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1001 Main St
Buffalo, NY 14203
Phone (716) 323-0225

100 High St
#13282
Buffalo, NY 14203

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1770770141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES",
            "address_2": "1001 MAIN ST FL 5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "MEGAN",
        "middle_name": "KATE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "245489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.