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DR. MARY ELLEN EMBORSKY DO
NPI 1013192053
Pediatrics - Pediatric Emergency Medicine in Buffalo, NY

Active since January 09, 2008PECOS Enrolled
1001 MAIN ST FL 5, BUFFALO, NY 14203(716) 323-0220(716) 323-0293 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2022, Dec 31, 2020 (2 updates tracked since 2020).

About Dr. Mary Ellen Emborsky Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ELLEN EMBORSKY DO (NPI 1013192053) is an individual pediatric emergency medicine provider in Buffalo, New York, licensed in New York (228134) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013192053
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MARY ELLEN EMBORSKYCredential: DO
Location Address1001 MAIN ST FL 5Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0220 · Fax (716) 323-0293
Phone(716) 323-0220
Fax(716) 323-0293
Sole ProprietorNo
Enumeration DateJanuary 9, 2008
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1013192053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 228134
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1001 MAIN ST FL 5, Buffalo, NY 14203
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Other Identifiers 5

Other000527296001Bc/bs
Other1292496Iha
Other00026388701Univera
Medicaid02396683NY
Other040426003102Fidelis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Ellen Emborsky Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Emborsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University At Buffalo Pediatric Associates Inc
Same address
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYSENUR DANIS
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0031
DR. MEGHAN E JACOBS MD
Hospitalist
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0225
REBECCAH STEVENS
Obstetrics & Gynecology
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0631
DEMI ZHU
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0630
MARIA SARAH MORGAN MD
Obstetrics & Gynecology
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 636-8284
MIKA IWANO M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0220
CAITLIN CHUNCO
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (716) 323-0031
DR. TYLER CHRISTIAN HAMMOND MD, PHD
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Erie County (801) 678-5817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Emborsky's NPI number?

The NPI number for Mary Emborsky is 1013192053. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Mary Emborsky located?

Mary Emborsky practices at 1001 Main St Fl 5, Buffalo, NY 14203. The listed phone number is (716) 323-0220.

What is Mary Emborsky's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Mary Emborsky enrolled in Medicare?

Yes. Mary Emborsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Emborsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Emborsky reassigns Medicare benefits to University At Buffalo Pediatric Associates Inc (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Emborsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Emborsky was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.