NPIMap

Individual provider Active NPI

Emily C Hennessy, RPA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1811251218
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015647 Issued in NY
Practice address
1001 Main St # 4
Buffalo, NY 14203-1009
Phone
(716) 218-1000
NPI assigned
Jun 29, 2012
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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 015647 NY Primary

Addresses

Primary practice location

1001 Main St # 4
Buffalo, NY 14203-1009

Mailing address

40 George Karl Blvd
Williamsville, NY 14221-7183
Phone (716) 218-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120802000586 NY Practitioner - Physician Assistant 2062668247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3460

1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 218-1000

40 George Karl Blvd
Suite 200
Amherst, NY 14221-7183
Phone (716) 218-1000

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 218-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
87.1
Promoting interoperability
95
Improvement activities
40
Cost
86.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Apr 8, 2013 Accepting new patients

Locations

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

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

737 Main St
Ste 300
Buffalo, NY 14203

40 George Karl Blvd
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: ehennessy@ubns.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1811251218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GEORGE KARL BLVD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217183",
            "telephone_number": "716-218-1000",
            "fax_number": "716-200-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST # 4",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-218-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.