Individual provider Active NPI

Anna Maria Pitliangas, PA

  • Physician Assistant
  • Elmira, NY
National Provider Identifier
1780253039
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027409 Issued in NY
Practice address
300 Hoffman St
Elmira, NY 14905-2263
Phone
(607) 734-4110
Fax
(607) 734-0344
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027409 NY Primary

Addresses

Primary practice location

300 Hoffman St
Elmira, NY 14905-2263

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020003075 NY Practitioner - Physician Assistant 5193113322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270

2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 837-2400

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

4901 Camp Rd
Suite 100
Hamburg, NY 14075-2625
Phone (716) 204-1101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Physician Assistant CurrentSince Oct 27, 2022 Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 27, 2022 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 16, 2024 Accepting new patients
Trinity Medical Wny PC Physician Assistant Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1780253039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050",
            "fax_number": "607-873-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOFFMAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052263",
            "telephone_number": "607-734-4110",
            "fax_number": "607-734-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITLIANGAS",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.