NPIMap

Individual provider Active NPI

Puneet Gupta, MD

  • Pediatric Radiology Physician
  • Buffalo, NY
National Provider Identifier
1912137589
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
003402 Issued in NY
Practice address
219 Bryant St
Buffalo, NY 14222-2006
Phone
(716) 878-7000
NPI assigned
Jul 17, 2009
Last updated
Jul 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 003402 NY Primary

Addresses

Primary practice location

219 Bryant St
Buffalo, NY 14222-2006

Mailing address

PO Box 8000
Dept 164
Buffalo, NY 14267-2006
Phone (716) 692-3302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000527 NY Practitioner - Diagnostic Radiology 8921152901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

100 College Pkwy
Suite 180
Williamsville, NY 14221-6800
Phone (716) 636-1902

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

Hospital & facility affiliations

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
003402NYMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC CurrentSince Dec 29, 2023 Accepting new patients
Kaleida Health Current Accepting new patients
Dia Invision Health Pediatric Radiology CurrentSince Dec 29, 2023 Accepting new patients
Great Lakes Medical Imaging LLC CurrentSince Oct 1, 2021 Accepting new patients
University Radiology at Buffalo, Inc. Past Accepting new patients
University at Buffalo Pediatric Associates Inc Past Accepting new patients
Pediatric and Adolescent Urgent Care of Western New York Past Accepting new patients

Locations

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

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

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

500 Sterling Dr
#2
Orchard Park, NY 14127

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

3850 Saunders Settlement Rd
Ste 150
Sanborn, NY 14132

100 College Pkwy
Ste 180
Williamsville, NY 14221
Phone (716) 636-1802

111 N Maplemere Rd
Ste 120
Williamsville, NY 14221
Phone (716) 836-4646

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

199 Park Club Ln
Ste 300
Williamsville, NY 14221
Phone (716) 332-8074

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1912137589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT 164",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142672006",
            "telephone_number": "716-692-3302",
            "fax_number": "716-213-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BRYANT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222006",
            "telephone_number": "716-878-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PUNEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NY",
            "license": "003402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.