Active NPI
Alicia W Hermogenes, MD
- Infectious Disease Physician
- Cheektowaga, NY
National Provider Identifier
1801827035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 195934
- Practice address
- 2475 Harlem Road
Cheektowaga, NY 14225 - Phone
- (716) 894-5071
- Fax
- (716) 894-5072
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 195934 | NY | Primary |
Addresses
Primary practice location
2475 Harlem Road
Cheektowaga, NY 14225
Mailing address
PO Box 173
Williamsville, NY 14221-0173
Phone (716) 894-5071
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00107601 | Other | NY | RAILROAD MEDICARE |
| 00010075804 | Other | NY | UNIVERA |
| 000523567004 | Other | NY | BLUE CROSS OF WNY |
| 040426002383 | Other | NY | FIDELIS |
| 3407412 | Other | NY | INDEPENDENT HEALTH |
| 01552001 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040708001021 | NY | Practitioner - Internal Medicine | 7113905084 | Practice locations: Cheektowaga, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Alicia W. Hermogenes | Past | Accepting new patients |
Interoperability endpoints
- drhermogenes@aliciawhermogenes.medentdirect.com
Organizations & group practices 1
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.
-
- Specialist
- NPI 1962825976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1801827035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142210173",
"telephone_number": "716-894-5071",
"fax_number": "716-894-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 HARLEM ROAD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "14225",
"telephone_number": "716-894-5071",
"fax_number": "716-894-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMOGENES",
"first_name": "ALICIA",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "195934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00107601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010075804",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WNY",
"identifier": "000523567004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426002383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "3407412",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01552001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.