Active NPI
Robert Kuchuk, M.D.
- Specialist
- Buffalo, NY
National Provider Identifier
1942526652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 271611
- Practice address
- 2121 Main St
Suite # 119
Buffalo, NY 14214-2693 - Phone
- (716) 838-6655
- Fax
- (716) 838-6652
- NPI assigned
- Apr 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Specialist | 174400000X | 271611 | NY | Primary |
Addresses
Primary practice location
2121 Main St
Suite # 119
Buffalo, NY 14214-2693
Mailing address
2121 Main St
Suite Number 119
Buffalo, NY 14214-2693
Phone (716) 838-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03723897 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount St. Mary'S Hospital of Niagara Falls | Current | Accepting new patients | |
| Kenwood Pediatrics | Specialist | Past | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3101 9th St
Niagara Falls, NY 14305
Phone (716) 284-8917
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- Specialist
- Buffalo, NY
- NPI 1063611192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391299200000",
"number": "1942526652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 MAIN ST",
"address_2": "SUITE NUMBER 119",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142693",
"telephone_number": "716-838-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MAIN ST",
"address_2": "SUITE # 119",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142693",
"telephone_number": "716-838-6655",
"fax_number": "716-838-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHUK",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-20",
"last_updated": "2014-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "271611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03723897",
"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 Feb 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.