Individual provider Active NPI

Grace D Dimitroff, MD

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1922061845
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
192531 Issued in NY
Practice address
2924 Main Street
Buffalo, NY 14214-1720
Phone
(718) 837-0995
Fax
(716) 837-1203
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 192531 NY Primary

Addresses

Primary practice location

2924 Main Street
Buffalo, NY 14214-1720

Mailing address

8205 Main St Ste 10
Williamsville, NY 14221-6054
Phone (716) 539-0789

Other identifiers 1

IdentifierTypeStateIssuer
01435785MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192531NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Health Associates of Western New York PLLC Pediatrics CurrentSince Sep 10, 2023 Accepting new patients
Western New York Pediatric Associates, LLP Pediatrics PastSince Sep 10, 2023 Accepting new patients
Main Buffalo Pediatrics LLP PastSince Sep 10, 2023 Accepting new patients

Locations

2924 Main St
Buffalo, NY 14214
Phone (716) 837-0995

8205 Main St
Ste 10
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: gracedimitroffmd@mhawny.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1922061845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 MAIN ST STE 10",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216054",
            "telephone_number": "716-539-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MAIN STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141720",
            "telephone_number": "718-837-0995",
            "fax_number": "716-837-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITROFF",
        "first_name": "GRACE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "192531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01435785",
            "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 Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.