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

Q: 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.

Q: What is Matthew Wiese's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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