Individual provider Active NPI

Maya Devi Srivastava, MS MD PHD

  • Gastroenterology Physician
  • Williamsville, NY
National Provider Identifier
1982615100
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
202393 Issued in NY
Practice address
1000 Youngs Road
Suite 208
Williamsville, NY 14221-2644
Phone
(716) 688-0525
Fax
(716) 688-0569
NPI assigned
Aug 11, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 202393 NY
Allergy & Immunology Physician 207K00000X 69401 OH
Allergy & Immunology Physician 207K00000X 150928 MA
Gastroenterology Physician 207RG0100X 202393 NY Primary
Gastroenterology Physician 207RG0100X 69401 OH
Gastroenterology Physician 207RG0100X 150928 MA

Addresses

Primary practice location

1000 Youngs Road
Suite 208
Williamsville, NY 14221-2644

Mailing address

PO Box 400
East Amherst, NY 14051-1808
Phone (716) 688-0525

Other identifiers 4

IdentifierTypeStateIssuer
BA0636OtherPIN
000528116001OtherBCBS
1212904OtherIHA
00027177701OtherUNIVERA

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
I20050927000796 NY Practitioner - GastroenterologyPractitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1153355458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Allergy/Immunology, Pediatric Medicine
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Youngs Rd
Suite 208
Williamsville, NY 14221-2644
Phone (716) 688-0525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
150928MAMDGastroenterology Physician
69401OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Devi Srivastava MD PH DPC Allergy & Immunology CurrentSince Jul 1, 2005 Accepting new patients
Kaleida Health CurrentSince Jan 1, 2006 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jan 1, 2006 Accepting new patients
University at Buffalo Pediatric Associates Inc PastSince Jan 1, 1998 Accepting new patients

Locations

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1000 Youngs Rd
Ste 208
Williamsville, NY 14221
Phone (716) 688-0525

Organizations & group practices 5

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 6

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1982615100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511808",
            "telephone_number": "716-688-0525",
            "fax_number": "716-688-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 YOUNGS ROAD",
            "address_2": "SUITE 208",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212644",
            "telephone_number": "716-688-0525",
            "fax_number": "716-688-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "MAYA",
        "middle_name": "DEVI",
        "credential": "MS MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "202393",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "69401",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "150928",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "202393",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "69401",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "150928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "BA0636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000528116001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1212904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027177701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.