Individual provider Active NPI

Nadare Sahim Alwan, FNP-BC

  • Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1952910036
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F346091 Issued in NY
Practice address
4267 Transit Rd
Williamsville, NY 14221-7205
Phone
(716) 204-0798
NPI assigned
Jul 24, 2020
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F346091 NY Primary
Family Nurse Practitioner 363LF0000X F346091 NY

Addresses

Primary practice location

4267 Transit Rd
Williamsville, NY 14221-7205

Mailing address

25 Countryside LN
Orchard Park, NY 14127-1316
Phone (716) 228-3462

Other practice location 1

Elm and Carlton Streets
Buffalo, NY 14263
Phone (716) 845-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address n.alwan.credentialing@stansberryandknight.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201104000168 NY Practitioner - Nurse Practitioner 4789094640 Reassigns benefits to 2 organizations
I20240516002457 OH Practitioner - Nurse Practitioner 4789094640 Reassigns benefits to 1 organization
I20241015003421 IL Practitioner - Nurse Practitioner 4789094640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F346091NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Sep 18, 2023 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 18, 2023 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 11, 2024 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 11, 2024 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

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

Organizations & group practices 6

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 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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1952910036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COUNTRYSIDE LN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271316",
            "telephone_number": "716-228-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 TRANSIT RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-204-0798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elm and Carlton Streets",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14263",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALWAN",
        "first_name": "NADARE",
        "middle_name": "SAHIM",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F346091",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "n.alwan.credentialing@stansberryandknight.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Orchard Park",
            "address_1": "4267 Transit Rd",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142217205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.