Individual provider Active NPI

Narayana As Shenoy, MD

  • Internal Medicine Physician
  • W Seneca, NY
National Provider Identifier
1871545665
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
145153 Issued in NY
Practice address
66 Weiss Ave
W Seneca, NY 14224
Phone
(716) 674-6612
Fax
(716) 674-7299
NPI assigned
May 17, 2006
Last updated
Sep 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 145153 NY Primary

Addresses

Primary practice location

66 Weiss Ave
W Seneca, NY 14224

Mailing address

66 Weiss Ave
West Seneca, NY 14224-4632
Phone (716) 674-6612

Other identifiers 3

IdentifierTypeStateIssuer
0404190OtherNYINDEPENDANT HEALTH
005008873OtherNYBLUE CROSS BLUE SHIELD
00943471MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000150 NY Practitioner - Internal Medicine 9830220151 Reassigns benefits to 1 organization
Practice locations: West Seneca, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Dec 17, 2018 Accepting new patients
Trinity Medical Wny PC Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1871545665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEISS AVE",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244632",
            "telephone_number": "716-674-6612",
            "fax_number": "716-674-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WEISS AVE",
            "city": "W SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-674-6612",
            "fax_number": "716-674-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "NARAYANA",
        "middle_name": "AS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "145153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "0404190",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "005008873",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00943471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Seneca, NY

Sources for this page

Verify at the official NPI Registry.