KATHRYN WIRTH PA
NPI 1124420369
Physician Assistant - Surgical in Buffalo, NY

Q: What is Kathryn Wirth's NPI number?

The NPI number for Kathryn Wirth is 1124420369. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Q: What is Kathryn Wirth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Wirth was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 18, 2014PECOS EnrolledAccepts Medicare Assignment

701 SENECA ST STE 646C, BUFFALO, NY 14210(716) 995-4450 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Nov 1, 2019 (2 updates tracked since 2019).

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About Kathryn Wirth Pa NPPES

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

KATHRYN WIRTH PA (NPI 1124420369) is an individual surgical provider in Buffalo, New York, licensed in New York (0178761) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124420369

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKATHRYN WIRTHCredential: PA

Location Address701 SENECA ST STE 646CBuffalo, NY 14210-1351

Mailing Address3332 Walden Ave, Ste 110Depew, NY 14043-2400 · (716) 668-7051 · Fax (716) 668-7069

Phone(716) 995-4450

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 18, 2014

Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration

NPPES CertifiedJuly 20, 2020

✔ NPI 1124420369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 0178761

701 SENECA ST STE 646C, Buffalo, NY 14210

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Secondary Practice Location 1

Location 185 High StBuffalo, NY 14203-1149 · Phone (716) 630-1000 · Fax (716) 680-1348

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn Wirth Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002038965

PECOS Enrollment IDI20141107001439

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$919.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BETH LYN VACCARELLI ANP

Nurse Practitioner (Adult Health)