Individual provider Active NPI

Thaddeus Patrick Waters, MD

  • Maternal & Fetal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1912102229
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
314132 Issued in NY
Practice address
1001 Main St
Buffalo, NY 14203-1009
Phone
(716) 323-0615
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35089915 OH
Maternal & Fetal Medicine Physician 207VM0101X 036131903 IL
Maternal & Fetal Medicine Physician 207VM0101X 314132 NY Primary

Addresses

Primary practice location

1001 Main St
Buffalo, NY 14203-1009

Mailing address

8869 Lake Glen CT
Clarence Center, NY 14032-9406
Phone (216) 258-4294

Other identifiers 1

IdentifierTypeStateIssuer
3068782MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408001192 NY Practitioner - Obstetrics/Gynecology 6305946252 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
87.72
Promoting interoperability
100
Improvement activities
40
Cost
75.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35089915OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenmore Mercy Hospital CurrentSince Dec 1, 2025 Accepting new patients
Kaleida Health CurrentSince Jun 1, 2022 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Dec 1, 2025 Accepting new patients
Trinity Medical Wny PC CurrentSince Feb 7, 2026 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Obstetrics & Gynecology CurrentSince Dec 1, 2025 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Dec 1, 2025 Accepting new patients
Kaleida Health CurrentSince Jun 1, 2022 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Dec 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Obstetrics & Gynecology Current Accepting new patients
University Gynecologists & Obstetricians,Inc. Obstetrics & Gynecology CurrentSince Dec 30, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Children'S Hospital Medical Center of Akron Past Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Past Accepting new patients
Mercy Hospital of Buffalo Past Accepting new patients

Locations

77 Goodell St
Ste 240
Buffalo, NY 14203
Phone (716) 816-7228

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

897 Delaware Ave
Ste 301
Buffalo, NY 14209
Phone (716) 846-1190

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

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

565 Abbott Rd
#2
Buffalo, NY 14220

1001 Main St
Buffalo, NY 14203
Phone (716) 323-0225

515 Abbott Rd
Ste 302
Buffalo, NY 14220
Phone (716) 828-3520

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

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

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

1020 Youngs Rd
Ste 110
Williamsville, NY 14221
Phone (716) 636-8284

192 Park Club Ln
Williamsville, NY 14221
Phone (716) 422-0010

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Interoperability endpoints

  • Direct secure messaging: twaters160590@direct.rush.rush-health.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1912102229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8869 LAKE GLEN CT",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329406",
            "telephone_number": "216-258-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "THADDEUS",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35089915",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036131903",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "314132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.