Active NPI
Shauna Lynn Tarsi, D.O
- Pediatrics Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 279695-1
- Practice address
- 1001 Main St FL 4
Buffalo, NY 14203-1009 - Phone
- (716) 323-0140
- Fax
- (716) 323-0296
- NPI assigned
- May 7, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 279695-1 | NY | Primary |
Addresses
Primary practice location
1001 Main St FL 4
Buffalo, NY 14203-1009
Mailing address
1001 Main St FL 5
Buffalo, NY 14203-1009
Phone (716) 323-0140
Other practice location 1
1404 Sweet Home Rd Ste 5
Amherst, NY 14228-2778
Phone (716) 639-9360
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 |
|---|---|---|---|---|
| I20200107001422 | NY | Practitioner - Nephrology | 4880028414 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University at Buffalo Pediatric Associates Inc
Practice addresses (Care Compare)
1404 Sweet Home Rd
Buffalo, NY 14228-2778
Phone (716) 932-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279695-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
| Kaleida Health | Past | Accepting new patients |
Locations
1404 Sweet Home Rd
Ste 5
Amherst, NY 14228
Phone (716) 639-9360
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
4711 Transit Rd
Depew, NY 14043
Phone (716) 668-5331
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.
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NY, Pediatrics
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1992064232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 5",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0140",
"fax_number": "716-323-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST FL 4",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0140",
"fax_number": "716-323-0296"
}
],
"practiceLocations": [
{
"address_1": "1404 Sweet Home Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "NY",
"postal_code": "142282778",
"country_code": "US",
"telephone_number": "716-639-9360",
"fax_number": "716-323-0296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARSI",
"first_name": "SHAUNA",
"middle_name": "LYNN",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "279695-1",
"primary": true
}
],
"identifiers": [],
"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 May 12, 2023; 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.