Active NPI
Larisa Meras, M.D.
- Internal Medicine Physician
- Buffalo, NY
National Provider Identifier
1962474262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 203775
- Practice address
- 705 Renaissance Drive
Canterbury Woods
Buffalo, NY 14221-8052 - Phone
- (716) 650-9760
- Fax
- (716) 650-9622
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 203775 | NY | Primary |
Addresses
Primary practice location
705 Renaissance Drive
Canterbury Woods
Buffalo, NY 14221-8052
Mailing address
PO Box 1848
Buffalo, NY 14240-1848
Phone (716) 923-4385
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000524321010 | Other | NY | BC/BS |
| 0409145 | Other | NY | IHA |
| 040511000694 | Other | NY | FIDELIS |
| 151121BJ | Other | NY | PREFERRED CARE |
| 01665067 | Medicaid | NY | |
| 00010198905 | Other | NY | UNIVERA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000190 | NY | Practitioner - Internal Medicine | 0446146724 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geriatric Associates, LLP
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3258
Hospital & facility affiliations
- Hospice Buffalo Inc
- Kaleida Health
- Safire Rehabilitation of Southtowns, L L C
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203775 | NY | MD | Pediatric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Associates, LLP | Current | Accepting new patients | |
| Safire Rehabilitation of Southtowns, LLC | Past | Accepting new patients |
Locations
275 Northpointe Pkwy
Ste 50
Buffalo, NY 14228
Phone (716) 389-3294
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
2235 Millersport Hwy
Getzville, NY 14068
Phone (716) 504-1000
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Williamsville, NY
- NPI 1750348306
NY
-
- Skilled Nursing Facility
- Buffalo, NY
- NPI 1528444916
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Buffalo, NY
- NPI 1528444916
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504224000000",
"number": "1962474262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142401848",
"telephone_number": "716-923-4385",
"fax_number": "716-246-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RENAISSANCE DRIVE",
"address_2": "CANTERBURY WOODS",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142218052",
"telephone_number": "716-650-9760",
"fax_number": "716-650-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERAS",
"first_name": "LARISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2017-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "203775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000524321010",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0409145",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040511000694",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "151121BJ",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01665067",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010198905",
"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 Sep 1, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.