Active NPI
Vijay K Bojedla, MD
- Internal Medicine Physician
- Niagara Falls, NY
On this page
- Key facts
- Organizations & group practices12
- Hospital & facility affiliations2
- Owned or controlled facilities with NPI records1
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers4
- NPI Registry JSON
- Other providers in Niagara Falls, NY
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 158437
- Practice address
- 1404 Pine Ave
Niagara Falls, NY 14301-1922 - Phone
- (716) 284-8333
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 12
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
- Niagara Falls, NY
- NPI 1285717298
Internal Medicine, NY
-
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
- NPI 1982659256
NY
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
NY
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NY
-
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1659909752
-
- Skilled Nursing Facility
- Buffalo, NY
- NPI 1144262908
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
-
- Family Medicine Physician
- Cheektowaga, NY
- NPI 1912393406
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
Hospital
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
Hospital
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
Corporate Director
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Niagara Falls Memorial Medical Center
Practice addresses (Care Compare)
1404 Pine Ave
Niagara Falls, NY 14301-1922
Phone (716) 284-8333
621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000
Hospital & facility affiliations
- Niagara Falls Memorial Medical Center
- Mount St. Mary'S Hospital & Health Center
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 |
|---|---|---|---|---|
| I20100525000663 | NY | Practitioner - Internal Medicine | 7214831080 |
Reassigns benefits to 6 organizations Practice locations: Niagara Falls, NY |
All facility ownership & control disclosures 1
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Hospital | Corporate Director | Jan 1, 2007 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo, New York | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Internal Medicine | Current | Accepting new patients |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mount St. Mary'S Hospital of Niagara Falls | Current | Accepting new patients | |
| Northeast Medical, P.C. | Past | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
2157 Main St
#H
Buffalo, NY 14214
Phone (716) 862-1501
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
1 Colomba Dr
Niagara Falls, NY 14305
Phone (716) 298-1273
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Interoperability endpoints
- https://api.platform.athenahealth.com/13610/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 158437 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1404 Pine Ave
Niagara Falls, NY 14301-1922
Mailing address
1404 Pine Ave
Niagara Falls, NY 14301-1922
Phone (716) 284-8333
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000500869001 | Other | NY | BC/BS |
| 0401545 | Other | NY | IHA |
| 00010018801 | Other | NY | UNIVERA |
| 00928890 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2008.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1982604468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 PINE AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011922",
"telephone_number": "716-284-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 PINE AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011922",
"telephone_number": "716-284-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJEDLA",
"first_name": "VIJAY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "158437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000500869001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0401545",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010018801",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00928890",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.