Moeen I Abu-Sitta, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Cheektowaga, NY
NPI 1811928682 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811928682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 183614 (NY)
- Practice address
- 755 Wehrle Dr
Cheektowaga, NY 14225-1319 - Phone
- (716) 634-0600
- Fax
- (716) 634-6462
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050112000854 | NY | Practitioner - Obstetrics/Gynecology | 7618926023 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183614 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current |
Accepting new patients | |
| University Gynecologists & Obstetricians,Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Academic Medicine Services, Inc. | Past | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
755 Wehrle Dr
Cheektowaga, NY 14225
Phone (716) 634-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 183614 | NY | Yes |
Addresses
Primary practice location
755 Wehrle Dr
Cheektowaga, NY 14225-1319
Mailing address
755 Wehrle Dr
Cheektowaga, NY 14225-1319
Phone (716) 634-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01230955 | Medicaid | OK |
Other providers in Cheektowaga, NY
- A Dependable Ride, Inc.
- Tracy Abbott
- Jabril Abdul-Rashed
- David J. Abramowitz
- Michael Abramson
- Access Social Adult Day Care
- Robert Edward Ackerhalt
- Elizabeth F. Ackerman
- Active Nutrition
- Virgie Adams
All providers in Cheektowaga, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.