Individual provider Active NPI

Priyanka Patnaik, MBBS

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1932360799
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
270685 Issued in NY
Practice address
1001 Main Street
4TH Floor
Buffalo, NY 14203-1009
Phone
(716) 550-8361
Fax
(716) 323-0585
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 270685 NY Primary

Addresses

Primary practice location

1001 Main Street
4TH Floor
Buffalo, NY 14203-1009

Mailing address

77 Goodell St
Ste. 240
Buffalo, NY 14203-1243
Phone (716) 645-9694

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
I20110719000817 NY Practitioner - Family Practice 5890963755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 342-3026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003844NYMDMental Health Counselor
270685NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Sep 22, 2025 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Sep 22, 2025 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Ub Family Medicine, Inc Family Medicine CurrentSince Jul 12, 2011 Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients

Locations

1315 Jefferson Ave
Buffalo, NY 14208
Phone (716) 332-3797

300 Niagara St
Buffalo, NY 14201
Phone (716) 242-8600

77 Goodell St
Ste 240
Buffalo, NY 14203
Phone (716) 816-7228

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

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

6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

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.

Hospital & facility affiliations 1

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1932360799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST",
            "address_2": "STE. 240",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031243",
            "telephone_number": "716-645-9694",
            "fax_number": "716-845-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN STREET",
            "address_2": "4TH FLOOR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-550-8361",
            "fax_number": "716-323-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNAIK",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.