Individual provider Active NPI

Constantina Spiropoulos, M.D.

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1790073260
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
214427 Issued in NY
Practice address
2924 Main Street
Buffalo, NY 14214-1706
Phone
(716) 837-0995
Fax
(716) 837-1203
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 214427 NY Primary

Addresses

Primary practice location

2924 Main Street
Buffalo, NY 14214-1706

Mailing address

2924 Main St
Buffalo, NY 14214-1706
Phone (716) 837-0995

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
I20250102001344 NY Practitioner - Pediatric Medicine 0143630780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214427NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Oct 24, 2024 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Oct 24, 2024 Accepting new patients
Medical Health Associates of Western New York PLLC Pediatrics Past Accepting new patients
Main Buffalo Pediatrics LLP Past Accepting new patients

Locations

1001 Main St
Fl 2
Buffalo, NY 14203
Phone (716) 323-6410

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1790073260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141706",
            "telephone_number": "716-837-0995",
            "fax_number": "716-837-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MAIN STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141706",
            "telephone_number": "716-837-0995",
            "fax_number": "716-837-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIROPOULOS",
        "first_name": "CONSTANTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "214427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.