Active NPI
Iris R Danziger, M.D.
- Otolaryngology Physician
- West Seneca, NY
National Provider Identifier
1902887102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 177744
- Practice address
- 1026 Union Rd
West Seneca, NY 14224-3449 - Phone
- (716) 712-0855
- Fax
- (716) 712-0982
- NPI assigned
- Nov 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 177744 | NY | Primary |
Addresses
Primary practice location
1026 Union Rd
West Seneca, NY 14224-3449
Mailing address
1026 Union Rd
West Seneca, NY 14224-3449
Phone (716) 712-0855
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01272288 | Medicaid | NY | |
| 040426002536 | Other | NY | FIDELIS |
| 000524977003 | Other | NY | BC/BS |
| 119878CW | Other | NY | PREFERRED CARE |
| 1009799 | Other | NY | IHA |
| 00010040803 | Other | NY | UNIVERA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100312000196 | NY | Practitioner - Endocrinology | 9335274604 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- State University of New York at Buffalo School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1026 Union Rd
West Seneca, NY 14224-3445
Phone (716) 712-0855
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9393 | HI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst Southgate, ENT, PLLC | Otolaryngology | Current | Accepting new patients |
| Euville, LLP | Past | Accepting new patients |
Locations
6000 N Bailey Ave
Buffalo, NY 14226
Phone (716) 712-0858
1026 Union Rd
West Seneca, NY 14224
Phone (716) 712-0851
Interoperability endpoints
- idanziger@danzigermd.medentdirect.com
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- West Seneca, NY
- NPI 1831260462
NY, Otolaryngology
-
- Pediatrics Physician
- Amherst, NY
- NPI 1750348322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1902887102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243449",
"telephone_number": "716-712-0855",
"fax_number": "716-712-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243449",
"telephone_number": "716-712-0855",
"fax_number": "716-712-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANZIGER",
"first_name": "IRIS",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "177744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01272288",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426002536",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000524977003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "119878CW",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1009799",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010040803",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.