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MAHESH BOMMARAJU MD
NPI 1457328114
Pediatrics - Neonatal-Perinatal Medicine in Williamsville, NY

Active since March 02, 2006PECOS Enrolled
1540 MAPLE RD, WILLIAMSVILLE, NY 14221(716) 878-7662 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mahesh Bommaraju Md NPPES

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

MAHESH BOMMARAJU MD (NPI 1457328114) is an individual neonatal-perinatal medicine provider in Williamsville, New York, licensed in New York (190900) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457328114
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMAHESH BOMMARAJUCredential: MD
Location Address1540 MAPLE RDWilliamsville, NY 14221-3647
Mailing Address219 Bryant StBuffalo, NY 14222-2006 · (716) 878-7673 · Fax (716) 878-7945
Phone(716) 878-7662
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateJanuary 11, 2010
✔ NPI 1457328114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 190900
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1540 MAPLE RD, Williamsville, NY 14221
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Other Identifiers 7

Other00010018901Univera
Other040426000926Fidelis
Medicare UPINF80735NY
Medicare PINBB1985NY
Medicaid01564185NY
Other000523290004Bc/bs
Other3610082Iha

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahesh Bommaraju 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. ANDERSON KA HO LAI MD
Internal Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 568-3514
COLLEEN KLOS
Internal Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 568-3514
BUFFALO HOSPITALIST SERVICES, P.C.
Internal Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 481-7384
SASHANK KAUSHIK MD
Hospitalist
1540 MAPLE RD, COGENT-HMG, MILLARD FILLMORE SUBURBAN HOSPITAL
WILLIAMSVILLE, NY 14221
Erie County (716) 568-3514
SIMRANJIT GILL D.O.
Emergency Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 568-3600
DR. JUAN JORGE BLANCO SA-C
Specialist/Technologist, Other (Surgical Assistant)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 480-2996
FREDERICK C MORIN III MD
Pediatrics (Neonatal-Perinatal Medicine)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 878-7662
KALEIDA HEALTH
General Acute Care Hospital
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 568-3600

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 Mahesh Bommaraju's NPI number?

The NPI number for Mahesh Bommaraju is 1457328114. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Mahesh Bommaraju located?

Mahesh Bommaraju practices at 1540 Maple Rd, Williamsville, NY 14221. The listed phone number is (716) 878-7662.

What is Mahesh Bommaraju's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mahesh Bommaraju enrolled in Medicare?

Yes. Mahesh Bommaraju is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahesh Bommaraju was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.