JERICHO ROAD COMMUNITY HEALTH CENTER
NPI 1205474681
Clinic/Center - Federally Qualified Health Center (FQHC) in Buffalo, NY
About Jericho Road Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERICHO ROAD COMMUNITY HEALTH CENTER (NPI 1205474681) is a healthcare organization registered as a federally qualified health center (fqhc) in Buffalo, New York and active in the NPI registry since December 2019. The organization holds 2 active CLIA laboratory certificates and lists Jackie Endress, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jericho Road Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Jericho Road Community Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 40Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2193162
Jericho Road Community Health Center · Buffalo, NYCertificate for Provider-Performed Microscopy Procedures (PPMP) 33D0930191
Jericho Road Community Health Center · Buffalo, NYFrequently 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 Jericho Road Ministries, Inc.'s NPI number?
The NPI number for Jericho Road Ministries, Inc. is 1205474681. It was assigned to this organization in the NPPES registry on December 16, 2019. The provider is doing business as Jericho Road Community Health Center.
Where is Jericho Road Ministries, Inc. located?
Jericho Road Ministries, Inc. is located at 100 E Tupper St, Buffalo, NY 14203. The listed phone number is (716) 881-6191.
What is Jericho Road Ministries, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Jericho Road Ministries, Inc. enrolled in Medicare?
Yes. Jericho Road Ministries, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jericho Road Ministries, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 9 Medicare specialties reassign their Medicare billing to Jericho Road Ministries, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (20), Family Practice (13) and Clinical Social Worker (1). Of these, 1 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jericho Road Ministries, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Jericho Road Ministries, Inc. was last updated on August 23, 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.
# Jericho Road Community Health Center · NPI 1205474681
Federally Qualified Health Center (FQHC) organization in Buffalo, New York. Organization record, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1205474681 (Entity type: Organization)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Jericho Road Ministries, Inc.
- **Organization subpart:** Yes (part of Jericho Road Ministries, Inc.)
- **Authorized official:** Jackie Endress, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 100 E TUPPER ST, Buffalo, NY 14203-1315
- **Phone:** (716) 881-6191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 40 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Family Practice (13), Clinical Social Worker (1); 1 practice at this address and 35 within 10 miles; [full list](https://npiprofile.com/npi/1205474681/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2021
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205474681) · Data from the CMS NPPES public registry.