Active NPI
Renee Porter, P.A.
- Surgical Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 010940-1
- Practice address
- 565 Abbott Rd
Buffalo, NY 14220 - Phone
- (716) 826-7000
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 010940-1 | NY | Primary |
Addresses
Primary practice location
565 Abbott Rd
Buffalo, NY 14220
Mailing address
440 Beebe Rd
Ilion, NY 13357-3741
Phone (315) 897-6694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02743259 | 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000
Hospital & facility affiliations
- Mercy Hospital of Buffalo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010940-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount St. Mary'S Hospital of Niagara Falls | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mount St. Mary'S Hospital of Niagara Falls | Current | Accepting new patients | |
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo, New York | Current | Accepting new patients | |
| Mohawk Valley Surgery Group | Past | Accepting new patients |
Locations
50 New Scotland Ave
Fl 3
Albany, NY 12208
Phone (518) 262-5864
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
515 Abbott Rd
Ste 310
Buffalo, NY 14220
Phone (716) 332-3505
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Organizations & group practices 15
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- General Practice Physician
- Albany, NY
- NPI 1548290455
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1659909752
-
- Rehabilitation Hospital Unit
- Buffalo, NY
- NPI 1659310605
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1184252751
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1922045210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 BEEBE RD",
"city": "ILION",
"state": "NY",
"postal_code": "133573741",
"telephone_number": "315-897-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-826-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "RENEE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "010940-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02743259",
"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 Feb 21, 2019; 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.