Active NPI
Roderich E Schwarz, MD, PHD
- Surgical Oncology Physician
- Buffalo, NY
National Provider Identifier
1871679589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 195361
- Practice address
- Elm and Carlton Streets
Buffalo, NY 14263-4810 - Phone
- (716) 845-2300
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | M6871 | TX | |
| Surgical Oncology Physician | 2086X0206X | 01072042A | IN | |
| Surgical Oncology Physician | 2086X0206X | 01072042B | IN | |
| Surgical Oncology Physician | 2086X0206X | 195361 | NY | Primary |
Addresses
Primary practice location
Elm and Carlton Streets
Buffalo, NY 14263-4810
Mailing address
Elm and Carlton Streets
Buffalo, NY 14263-0001
Phone (716) 845-2300
Other practice location 1
200 High Park Ave
Indiana University Health Goshen Center for Cancer Care
Goshen, IN 46526
Phone (574) 364-2888
Other practice location 2
200 High Park Ave
Indiana University Health Goshen Center for Cancer Care
Goshen, IN 46526
Phone (574) 364-2888
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8572305 | Medicaid | NJ | |
| M6871 | Other | TX | TEXAS MEDICAL LICENSE |
| 195361 | Other | NY | NYS LICENSE |
| 186454801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01072042B | IN | MD | Surgical Oncology Physician |
| M6871 | TX | MD | Surgical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1871679589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELM AND CARLTON STREETS",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300",
"fax_number": "574-364-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON STREETS",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142634810",
"telephone_number": "716-845-2300"
}
],
"practiceLocations": [
{
"address_1": "200 High Park Ave",
"address_2": "Indiana University Health Goshen Center for Cancer Care",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "46526",
"country_code": "US",
"telephone_number": "574-364-2888",
"fax_number": "574-364-2480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 High Park Ave",
"address_2": "Indiana University Health Goshen Center for Cancer Care",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "46526",
"country_code": "US",
"telephone_number": "574-364-2888",
"fax_number": "574-364-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARZ",
"first_name": "RODERICH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "M6871",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "IN",
"license": "01072042A",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "IN",
"license": "01072042B",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "195361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8572305",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "M6871",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "195361",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186454801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.