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DR. MOHAMMED IDRIS MD
NPI 1306368683
Anesthesiology in Buffalo, NY

Active since July 08, 2017PECOS Enrolled
1001 MAIN ST STE K3502, BUFFALO, NY 14203(716) 323-6584 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2023, Jul 21, 2022, Jul 8, 2017 (3 updates tracked since 2017).

About Dr. Mohammed Idris Md NPPES

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

DR. MOHAMMED IDRIS MD (NPI 1306368683) is an individual anesthesiology provider in Buffalo, New York, licensed in New York (313831) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306368683
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MOHAMMED IDRISCredential: MD
Location Address1001 MAIN ST STE K3502Buffalo, NY 14203-1009
Mailing Address1001 Main St Ste K3502Buffalo, NY 14203-1009 · (716) 323-6584
Phone(716) 323-6584
Sole ProprietorNo
Enumeration DateJuly 8, 2017
Last NPPES UpdateFebruary 5, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2023
✔ NPI 1306368683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in NY · 313831✔ Licensed in MI · 4301506127
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1001 MAIN ST STE K3502, Buffalo, NY 14203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohammed Idris 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.

Medicare Billing Reassignment

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

Great Lakes Anesthesiology, PC
0.1 mi
Specialist
818 ELLICOTT ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 182 clinicians in this Medicare group
NPI 1306852181 (716) 323-6570

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 6

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

JAD DUGHAYLI
Anesthesiology
1001 MAIN ST STE K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
MAX CHUDY III MD
Anesthesiology
1001 MAIN ST STE K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
DR. ERIN LYN FISK DNP-CRNA
Nurse Anesthetist, Certified Registered
1001 MAIN ST STE K3502
BUFFALO, NY 14203
Erie County (716) 323-6576
ALI NICOLE PENSERO CRNA
Nurse Anesthetist, Certified Registered
1001 MAIN ST STE K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
IVEY JOY PEREZ
Nurse Anesthetist, Certified Registered
1001 MAIN ST STE K3502
BUFFALO, NY 14203
Erie County (716) 323-6576
NADIA RODRIGUEZ
Nurse Anesthetist, Certified Registered
1001 MAIN ST STE K3502
BUFFALO, NY 14203
Erie County (716) 323-6576

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 Mohammed Idris's NPI number?

The NPI number for Mohammed Idris is 1306368683. It was assigned to this individual provider in the NPPES registry on July 8, 2017.

Where is Mohammed Idris located?

Mohammed Idris practices at 1001 Main St Ste K3502, Buffalo, NY 14203. The listed phone number is (716) 323-6584.

What is Mohammed Idris's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mohammed Idris enrolled in Medicare?

Yes. Mohammed Idris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammed Idris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Idris reassigns Medicare benefits to Great Lakes Anesthesiology, PC (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 Mohammed Idris'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 Mohammed Idris was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.