NPIMap

Individual provider Active NPI

Tinh Trung Dao, MD

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1942301189
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209762 Issued in NY
Practice address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone
(716) 986-9199
Fax
(716) 835-9357
NPI assigned
Sep 26, 2006
Last updated
Sep 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209762 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 209762 NY

Addresses

Primary practice location

34 Benwood Ave
Buffalo, NY 14214-1761

Mailing address

34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199

Other identifiers 4

IdentifierTypeStateIssuer
00355266OtherNYGROUP MEDICAID
1790787919OtherGROUP NPI
00365893MedicaidNY
AV4993160-4202OtherNYBAINBRIDGE VA CBOC

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
I20100811000514 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4385778489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Buffalo IncGroup PAC ID 8527052265, 15 clinicians

Practice addresses (Care Compare)

34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince Mar 1, 2014 Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449

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

38 Heritage Ct
Lockport, NY 14094
Phone (716) 433-4464

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA
  • Direct secure messaging: tinh.dao@chcb.eclinicaldirectplus.com

Organizations & group practices 2

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 7

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1942301189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-835-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-835-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "TINH",
        "middle_name": "TRUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209762",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "209762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "00355266",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1790787919",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365893",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAINBRIDGE VA CBOC",
            "identifier": "AV4993160-4202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.