Kyra Aidan Minchak, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

032344 Issued in NY

Practice address

1569 Niagara St
Buffalo, NY 14213-1101

Phone

(716) 427-7000

NPI assigned

Jun 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood Health Center of Wny, Inc.Group PAC ID 5193794972, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyra.minchak.1@26491.direct.athenahealth.com

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.

• Neighborhood Health Center of Wny, Inc.

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1881789014
  Medicare reassignment Care Compare group NPD
• Neighborhood Health Center of Wny, Inc.

  dba Pharmacy @ Mattina

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1821467226
  NPD
• Terrell Tiny Teeth PLLC

  • Pediatric Dentistry
  • Terrell, TX
  • NPI 1760169825
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1982446753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131101",
            "telephone_number": "716-427-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131101",
            "telephone_number": "716-427-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCHAK",
        "first_name": "KYRA",
        "middle_name": "AIDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "032344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korinne Mary Mills
• Leisa S Mills, FNP-BC
• Scott L Millspaugh, PEER
• Reece Mims
• Inkee Min, MD
• Mindful Minds Holistic Wellness Coaching
• Mindful Minds Holistic Wellness Coaching
• Aime Minega Shabani
• Marie M Mineo-Giardina, LMT
• Luann Mineo

• Obstetrics & Gynecology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.