Active NPI
James Raymond Hereth, M.D.
- Pediatric Critical Care Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 247895
- Practice address
- 818 Ellicott St
Buffalo, NY 14203-1021 - Phone
- (716) 323-0200
- Fax
- (716) 323-0293
- NPI assigned
- Jul 13, 2008
- Last updated
- Jan 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 247895 | NY | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 247895 | NY | Primary |
Addresses
Primary practice location
818 Ellicott St
Buffalo, NY 14203-1021
Mailing address
1001 Main St FL 4
Buffalo, NY 14203-1009
Phone (716) 323-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03103335 | Medicaid | NY |
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
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600
445 Tremont St
North Tonawanda, NY 14120-6150
Phone (716) 694-4500
515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.06 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 247895 | NY | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| University at Buffalo Pediatric Associates Inc | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients | |
| University Gynecologists & Obstetricians,Inc. | Past | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
100 High St
#13282
Buffalo, NY 14203
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
515 Main St
Olean, NY 14760
Phone (716) 373-2600
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
dba Kaleida Health Outpatient Pharmacy
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
dba Mercy Hospital Professional Services
- General Acute Care Hospital
- Buffalo, NY
- NPI 1851929954
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
dba Sisters of Charity Professional Services
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1568090660
-
- Anatomic Pathology & Clinical Pathology Physician
- Williamsville, NY
- NPI 1235155581
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1154354140
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
dba Millard Fillmore Gates Hospital
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1912161530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 4",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0200",
"fax_number": "716-323-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 ELLICOTT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031021",
"telephone_number": "716-323-0200",
"fax_number": "716-323-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERETH",
"first_name": "JAMES",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-13",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "247895",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NY",
"license": "247895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03103335",
"state": "NY"
}
],
"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 Jan 18, 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.