NPIMap

Individual provider Active NPI

Sameer Shamoon Mamnoon, M.D.

  • Internal Medicine Physician
  • Williamsville, NY
National Provider Identifier
1881663144
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229765 Issued in NY
Practice address
8167 Sheridan Drive
Suite 100
Williamsville, NY 14221
Phone
(716) 276-8726
Fax
(716) 276-8730
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 229765 NY Primary

Addresses

Primary practice location

8167 Sheridan Drive
Suite 100
Williamsville, NY 14221

Mailing address

8167 Sheridan Drive
Suite 100
Williamsville, NY 14221
Phone (716) 276-8726

Other identifiers 1

IdentifierTypeStateIssuer
BA0500OtherNYMEDICARE PTAN

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
I20040121000471 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9133021207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult Medical Services PCGroup PAC ID 3173579547, 3 clinicians

Practice addresses (Care Compare)

6645 Main St
Suite a
Williamsville, NY 14221-5994
Phone (716) 276-8726

Hospital & facility affiliations

  • Willcare Chha (Buffalo) Home health agency, Buffalo, NY, CCN 337268
  • McAuley Seton Home Care Corp Chha Home health agency, Buffalo, NY, CCN 337251
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229765NYMDInternal Medicine Physician
001242NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Adult Medical Services, P.C. Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 9, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 9, 2023 Accepting new patients
Alden Medical Group, PLLC Internal Medicine Past Accepting new patients
Geriatric Associates, LLP PastSince Jul 25, 2019 Accepting new patients
North Gate Health Care Facility LLC Past Accepting new patients

Locations

12845 Broadway St
Alden, NY 14004
Phone (716) 937-3255

397 Louisiana St
Buffalo, NY 14204
Phone (716) 823-6923

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

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

8167 Sheridan Dr
#100
Williamsville, NY 14221
Phone (716) 276-8726

6645 Main St
Ste A
Williamsville, NY 14221
Phone (716) 276-8726

Interoperability endpoints

  • Direct secure messaging: smamnoonmd@adultmedical.medentdirect.com

Organizations & group practices 9

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.

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1881663144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-276-8726",
            "fax_number": "716-276-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8167 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-276-8726",
            "fax_number": "716-276-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMNOON",
        "first_name": "SAMEER",
        "middle_name": "SHAMOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BA0500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.