Individual provider Active NPI

Lucy Chue-Yin Holmes, MD

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1932154168
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
194399 Issued in NY
Practice address
1050 Niagara St
Buffalo, NY 14213-2001
Phone
(716) 768-7600
Fax
(716) 768-7621
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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 194399 NY Primary

Addresses

Primary practice location

1050 Niagara St
Buffalo, NY 14213-2001

Mailing address

1001 Main St FL 5
Buffalo, NY 14203-1009
Phone (716) 323-0034

Other identifiers 7

IdentifierTypeStateIssuer
00010078501OtherUNIVERA
0017434030001MedicaidPA
080407000089OtherFIDELIS
040426002229OtherFIDELIS
01638802MedicaidNY
1208191OtherIHA
000524381001OtherBC/BS

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
I20170522000450 NY Practitioner - Pediatric Medicine 6901173020 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Apr 12, 2017 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health CurrentSince Apr 12, 2017 Accepting new patients
Kaleida Health Current Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics CurrentSince Aug 11, 2020 Accepting new patients

Locations

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

125 Hodge Ave
Buffalo, NY 14222
Phone (716) 878-7488

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

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

219 Bryant St
Buffalo, NY 14222
Phone (716) 878-7000

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

Organizations & group practices 5

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1932154168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST FL 5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0034",
            "fax_number": "716-323-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132001",
            "telephone_number": "716-768-7600",
            "fax_number": "716-768-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LUCY",
        "middle_name": "CHUE-YIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "194399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010078501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017434030001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "080407000089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426002229",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01638802",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1208191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000524381001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.