NPIMap

Individual provider Active NPI

Douglas B Moreland, MD

  • Neurological Surgery Physician
  • Williamsville, NY
National Provider Identifier
1942285739
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
161777 1 Issued in NY
Practice address
40 George Karl Blvd
Williamsville, NY 14221-7183
Phone
(716) 218-1000
Fax
(716) 200-1857
NPI assigned
Dec 14, 2005
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 161777 1 NY Primary

Addresses

Primary practice location

40 George Karl Blvd
Williamsville, NY 14221-7183

Mailing address

40 George Karl Blvd
Williamsville, NY 14221-7183
Phone (716) 218-1000

Other identifiers 5

IdentifierTypeStateIssuer
140004319OtherRAILROAD MEDICARE
000525938003OtherNYBLUE CROSS BLUE SHIELD
0607773OtherNYINDEPENDENT HEALTH
00010121701OtherNYUNIVERA HEALTHCARE
040426001228OtherNYFIDELISCARE NEW YORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000690 NY Practitioner - Neurosurgery 9537072350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
State University of New York at Buffalo School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3460

40 George Karl Blvd
Suite 200
Amherst, NY 14221-7183
Phone (716) 218-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
87.1
Promoting interoperability
95
Improvement activities
40
Cost
86.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion169
Laminectomy or laminotomy (partial removal of spine bones)50
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161777 1NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Apr 1, 2015 Accepting new patients
University at Buffalo Neurosurgery, Inc. Neurological Surgery CurrentSince Apr 1, 2015 Accepting new patients
Wehrle Drive ASC LLC PastSince Jan 1, 2021 Accepting new patients

Locations

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

737 Main St
Ste 300
Buffalo, NY 14203

180 Park Club Ln
Williamsville, NY 14221
Phone (716) 332-6834

180 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 632-7465

40 George Karl Blvd
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: dmoreland@ubns.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1942285739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GEORGE KARL BLVD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217183",
            "telephone_number": "716-218-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GEORGE KARL BLVD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217183",
            "telephone_number": "716-218-1000",
            "fax_number": "716-200-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "161777 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140004319",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000525938003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0607773",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00010121701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELISCARE NEW YORK",
            "identifier": "040426001228",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.