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DR. MICHELLE DOLORES PENQUE MD
NPI 1174571152
Pediatrics - Pediatric Emergency Medicine in Buffalo, NY

Active since May 04, 2006PECOS Enrolled
1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 323-0260(716) 323-0294 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michelle Dolores Penque Md NPPES

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

DR. MICHELLE DOLORES PENQUE MD (NPI 1174571152) is an individual pediatric emergency medicine provider in Buffalo, New York, licensed in New York (200803) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174571152
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MICHELLE DOLORES PENQUECredential: MD
Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0260 · Fax (716) 323-0294
Phone(716) 323-0260
Fax(716) 323-0294
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1174571152 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 · 200803
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1001 MAIN ST FL 4, Buffalo, NY 14203
Open in Google Maps ↗

Other Identifiers 6

Medicaid0018522750001PA
Other040426001461Fidelis
Other00010310201Univera
Medicaid01776672NY
Other000524862001Bc/bs
Other3990839Iha

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Dolores Penque Md 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.

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.

DR. MONA BONANNO M.D.
Pediatrics
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0260
MELISSA ANNE AZAULA MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0034
DANIELLE MARIE GOETZ MD
Pediatrics (Pediatric Pulmonology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0110
MS. XIAOYAN WU MD
Pediatrics (Pediatric Nephrology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0140
DR. XILEI XU CHEN M.D.
Pediatrics (Pediatric Pulmonology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0260
MARY BADAME
Doula
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 668-1188
DR. OSAMA FAROUQ ALMADHOUN M.D
Pediatrics (Pediatric Gastroenterology)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0080
ALBERTO F. MONEGRO M.D.
Internal Medicine (Pulmonary Disease)
1001 MAIN ST FL 4
BUFFALO, NY 14203
Erie County (716) 323-0110

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 Michelle Penque's NPI number?

The NPI number for Michelle Penque is 1174571152. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Michelle Penque located?

Michelle Penque practices at 1001 Main St Fl 4, Buffalo, NY 14203. The listed phone number is (716) 323-0260.

What is Michelle Penque's specialty?

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

Is Michelle Penque enrolled in Medicare?

Yes. Michelle Penque is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Penque was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.