Active NPI
Mary Frances Angela Croake, D.O.
- Diagnostic Radiology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 303401
- Practice address
- Elm and Carlton Streets
Buffalo, NY 14263-0001 - Phone
- (716) 845-2300
- Fax
- (716) 845-5707
- NPI assigned
- Apr 6, 2015
- Last updated
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | 303401 | NY | Primary |
Addresses
Primary practice location
Elm and Carlton Streets
Buffalo, NY 14263-0001
Mailing address
56 Lucrest Dr
Irondequoit, NY 14609-2904
Phone (716) 440-6626
Other practice location 1
2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St James Hospital | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients |
Locations
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
Dept 8000
Buffalo, NY 14267
Elm and Carlton St
Buffalo, NY 14263
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
Interoperability endpoints
- mhall107248@direct.urmc.rochester.edu
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1548315401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1902291917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 LUCREST DR",
"city": "IRONDEQUOIT",
"state": "NY",
"postal_code": "146092904",
"telephone_number": "716-440-6626"
},
{
"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": "142630001",
"telephone_number": "716-845-2300",
"fax_number": "716-845-5707"
}
],
"practiceLocations": [
{
"address_1": "2157 Main St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142142648",
"country_code": "US",
"telephone_number": "716-862-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROAKE",
"first_name": "MARY FRANCES",
"middle_name": "ANGELA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "303401",
"primary": true
}
],
"identifiers": [],
"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 Apr 30, 2021; 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.