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MATTHEW L. WIESE M.D.
NPI 1316333446
Pediatrics - Pediatric Emergency Medicine in Buffalo, NY

Active since April 15, 2015PECOS Enrolled
818 ELLICOTT ST, BUFFALO, NY 14203(716) 323-2000(716) 323-0293 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2023, Feb 20, 2023, Feb 25, 2022 and 2 more (5 updates tracked since 2018).

About Matthew L. Wiese M.d. NPPES

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

MATTHEW L. WIESE M.D. (NPI 1316333446) is an individual pediatric emergency medicine provider in Buffalo, New York, licensed in New York (298763) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Williamsville.

NPPES Registry Identity

NPI1316333446
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameMATTHEW L. WIESECredential: M.D.
Location Address818 ELLICOTT STBuffalo, NY 14203-1021
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0220 · Fax (716) 323-0293
Phone(716) 323-2000
Fax(716) 323-0293
Sole ProprietorNo
Enumeration DateApril 15, 2015
Last NPPES UpdateJune 6, 20235 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1316333446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in NY · 298763✔ Licensed in MA · 274395
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 274395 (MA)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 298763 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
818 ELLICOTT ST, Buffalo, NY 14203
Open in Google Maps ↗

Secondary Practice Location 1

Location 11540 Maple RdWilliamsville, NY 14221-3647 · Phone (716) 323-0200 · Fax (716) 323-0293

Other Identifiers 1

Medicaid06949971NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew L. Wiese M.d. 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 Matthew Wiese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University At Buffalo Pediatric Associates Inc
0.1 mi
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.

KUNAL CHADHA MD
Pediatrics
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-0220
DR. N JA HPA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-0260
DR. JESSICA ALIOTTA DONHAUSER M.D.
Hospitalist
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-2000
ROBERT ROSS WELLIVER MD
Student in an Organized Health Care Education/Training Program
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-2000
BRIAN EVANS
Nurse Anesthetist, Certified Registered
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-6570
KAITLYN HYERS
Speech-Language Pathologist
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-2000
ALANA KOEHLER
Pediatrics
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (716) 323-2000
SUSAN J WITTMAN M.D.
Anesthesiology (Pediatric Anesthesiology)
818 ELLICOTT ST
BUFFALO, NY 14203
Erie County (443) 895-1038

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 Matthew Wiese's NPI number?

The NPI number for Matthew Wiese is 1316333446. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Matthew Wiese located?

Matthew Wiese practices at 818 Ellicott St, Buffalo, NY 14203. The listed phone number is (716) 323-2000.

What is Matthew Wiese's specialty?

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

Is Matthew Wiese enrolled in Medicare?

Yes. Matthew Wiese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Wiese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wiese 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 Matthew Wiese'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 Matthew Wiese was last updated on June 6, 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.