Active NPI
Michael Scott Adragna, M.D.
- Child & Adolescent Psychiatry Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD13616
- Practice address
- 1001 Main St FL 4
Buffalo, NY 14203-1009 - Phone
- (716) 835-1246
- Fax
- (716) 835-0396
- NPI assigned
- May 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1235155581
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York at Buffalo School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Psychiatric Practice Inc
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4857
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120828000019 | NY | Practitioner - Psychiatry | 0941457972 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13616 | RI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Current | Accepting new patients | |
| University Psychiatric Practice, Inc | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients |
Locations
100 High St
#13282
Buffalo, NY 14203
462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD13616 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1001 Main St FL 4
Buffalo, NY 14203-1009
Mailing address
462 Grider St FL 11
Buffalo, NY 14215-3021
Phone (716) 898-4857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801020581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 GRIDER ST FL 11",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-4857",
"fax_number": "716-898-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 4",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-835-1246",
"fax_number": "716-835-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRAGNA",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "RI",
"license": "MD13616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.