Individual provider Active NPI

Simona Velicu, MD, MBA

  • Neurology Physician
  • Buffalo, NY
National Provider Identifier
1982868857
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
290577 Issued in NY
Practice address
515 Abbott Rd Ste 204
Buffalo, NY 14220-1700
Phone
(716) 828-3123
Fax
(716) 828-3890
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 290577 NY Primary

Addresses

Primary practice location

515 Abbott Rd Ste 204
Buffalo, NY 14220-1700

Mailing address

515 Abbott Rd Ste 204
Buffalo, NY 14220-1700
Phone (716) 828-3123

Other practice location 1

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 692-3700

Other practice location 2

Weatherby Inc
37 Allegany Ave
Kenmore, NY 14217-2008
Phone (216) 507-7074

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
I20180110002627 NY Practitioner - Neurology 4284829946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Practice addresses (Care Compare)

144 Genesee St
Buffalo, NY 14203-1560

144 Genesee St FL
Suite 3
Buffalo, NY 14203-1560

4949 Harlem Rd
Amherst, NY 14226-2500
Phone (716) 601-3690

515 Abbott Rd
Buffalo, NY 14220-1700
Phone (716) 828-3123

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
290577NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo CurrentSince Jan 18, 2021 Accepting new patients
Mercy Hospital of Buffalo Neurology CurrentSince Jan 18, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jun 6, 2021 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 1, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 1, 2021 Accepting new patients
Mercy Hospital of Buffalo PastSince Jun 6, 2021 Accepting new patients

Locations

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

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

515 Abbott Rd
Ste 204
Buffalo, NY 14220
Phone (716) 828-3123

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1982868857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD STE 204",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-828-3123",
            "fax_number": "716-828-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD STE 204",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-828-3123",
            "fax_number": "716-828-3890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153021",
            "country_code": "US",
            "telephone_number": "716-692-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Weatherby Inc",
            "address_2": "37 Allegany Ave",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142172008",
            "country_code": "US",
            "telephone_number": "216-507-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELICU",
        "first_name": "SIMONA",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "290577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.