Individual provider Active NPI

Robert Semidey, M.D.

  • Anesthesiology Physician
  • Kenmore, NY
National Provider Identifier
1942696257
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
296396 Issued in NY
Practice address
2950 Elmwood Avenue (Kenmore Mercy Hospital)
Kenmore, NY 14217-1304
Phone
(716) 874-1098
Fax
(716) 874-8616
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 296396 NY Primary

Addresses

Primary practice location

2950 Elmwood Avenue (Kenmore Mercy Hospital)
Kenmore, NY 14217-1304

Mailing address

2333 Elmwood Avenue
Suite 2
Kenmore, NY 14217-2646
Phone (716) 874-1098

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
I20190726002274 NY Practitioner - Anesthesiology 0749527190 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296396NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northtowns Ambulatory Surgery Center, LLC CurrentSince Sep 10, 2024 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Jun 4, 2023 Accepting new patients
Parkside Medical Anesthesia Associates Anesthesiology CurrentSince Dec 3, 2019 Accepting new patients
Abbott Anesthesiologist Associates PC CurrentSince Feb 19, 2022 Accepting new patients

Locations

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

515 Abbott Rd
Ste 410
Buffalo, NY 14220
Phone (716) 826-6628

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

111 N Maplemere Rd
Williamsville, NY 14221
Phone (716) 713-4310

Organizations & group practices 4

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1942696257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 ELMWOOD AVENUE",
            "address_2": "SUITE 2",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172646",
            "telephone_number": "716-874-1098",
            "fax_number": "716-874-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVENUE (KENMORE MERCY HOSPITAL)",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-874-1098",
            "fax_number": "716-874-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMIDEY",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "296396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

Verify at the official NPI Registry.