Michael P Rade, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

128302 Issued in NY

Practice address

550 Orchard Park Rd
Ste A103
West Seneca, NY 14224-2654

Phone

(716) 677-5500

Fax

(716) 677-5008

NPI assigned

Mar 9, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Michael P Rade MD PC

  • Specialist
  • West Seneca, NY
  • NPI 1003002585
  NPD (past) Authorized official
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1891763587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "STE A103",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242654",
            "telephone_number": "716-677-5500",
            "fax_number": "716-677-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "STE A103",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242654",
            "telephone_number": "716-677-5500",
            "fax_number": "716-677-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "128302",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "128302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00633743",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queen City Medical Supply, Inc.
• Josephine Queen, RN
• Gloria S Quirante, MD
• Rachael Schneider Licensed Behavior Analyst PLLC
• Koehler Leslie Radder, MASSAGE THERAPIST
• Emily Radnovich
• Barbara Z. Radolinski, MD
• Shannon Raimondo
• Susan C Rajczak, ANP
• Jyotsna Rajeswary, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.