Active NPI
Gregg Feld, MD
- Diagnostic Radiology Physician
- Buffalo, NY
National Provider Identifier
1902864473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 1903591
- Practice address
- 222 Genesee Street
Buffalo, NY 14203 - Phone
- (716) 855-2866
- Fax
- (716) 855-2860
- NPI assigned
- May 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1903591 | NY | Primary |
Addresses
Primary practice location
222 Genesee Street
Buffalo, NY 14203
Mailing address
PO Box 8000
Dept 836
Buffalo, NY 14267
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025344807 | Other | UNIVERA | |
| 000525472013 | Other | BLUE SHIELD OF WESTERN NY | |
| 161425463 | Other | EMPIRE PLAN | |
| 204329201 | Other | EMPIRE PLAN | |
| 743079229 | Other | EMPIRE PLAN | |
| 000525472010 | Other | BLUE SHIELD OF WESTERN NY | |
| 145800FF | Other | PREFERRED CARE | |
| 0025344806 | Other | UNIVERA | |
| W1903590W | Other | NY | WORKERS COMPENSATION |
| 000525472011 | Other | BLUE SHIELD OF WESTERN NY | |
| 5605277 | Other | INDEPENDENT HEALTH | |
| 000525472006 | Other | BLUE SHIELD OF WESTERN NY | |
| 0025344805 | Other | UNIVERA | |
| 01357166 | Medicaid | NY | |
| 161538169 | Other | EMPIRE PLAN | |
| 040426001304 | Other | FIDELIS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1903591 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyung C Park Physician PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Kenmore, NY
- NPI 1265512768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1902864473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"address_2": "DEPT 836",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 GENESEE STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-855-2866",
"fax_number": "716-855-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELD",
"first_name": "GREGG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "1903591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025344807",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000525472013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "161425463",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "204329201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "743079229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000525472010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "145800FF",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0025344806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "W1903590W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000525472011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "5605277",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF WESTERN NY",
"identifier": "000525472006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "0025344805",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01357166",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "161538169",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426001304",
"state": null
}
],
"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 May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.