Agnes Vida Quebral, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

250185 Issued in NY

Practice address

1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332

Phone

(716) 675-0707

Fax

(716) 961-3706

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
• Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Medicare reassignment Care Compare group NPD
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD
• Maria Rita Andaya M.D.,PLLC

  • Internal Medicine Physician
  • Lackawanna, NY
  • NPI 1184873770
  NPD (past)
• Maria Rita Andaya MD PLLC

  • Internal Medicine Physician
  • Lackawanna, NY
  • NPI 1922233477
  NPD (past)
• Roberto P Panis MD PC

  • Internal Medicine Physician
  • Huntingdon Valley, PA
  • NPI 1366599292
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McAuley Seton Home Care Corporation

  • Home Health Agency
  • Cheektowaga, NY
  • NPI 1699772343
  Care Compare affiliation
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation
• Tender Loving Care Health Care Services of Erie Niagara, LLC

  • Home Health Agency
  • Williamsville, NY
  • NPI 1730134529
  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1861553349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 130",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-675-0707",
            "fax_number": "716-961-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 130",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-675-0707",
            "fax_number": "716-961-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEBRAL",
        "first_name": "AGNES",
        "middle_name": "VIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD063195L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001973682",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel N Puvendran, MD
• Amelia Pyle, L.AC.
• Dorothy Pytlak
• Quality of Life Home Healthcare
• Mallory Jean Quattrone
• Queen City Medical Supply, Inc.
• Josephine Queen, RN
• Gloria S Quirante, MD
• Rachael Schneider Licensed Behavior Analyst PLLC
• Koehler Leslie Radder, MASSAGE THERAPIST

• Internal Medicine Physician in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.

Verify at the official NPI Registry.