MAHESH BOMMARAJU MD
NPI 1457328114
Pediatrics - Neonatal-Perinatal Medicine in Williamsville, NY
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
Specialties & Licenses
Other Identifiers 7
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mahesh Bommaraju Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mahesh Bommaraju reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 676 clinicians in this Medicare group
Buffalo, NY 14203
- Reassigned Medicare billing, New York enrollment
- 217 clinicians in this Medicare group
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.
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
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.
Which organizations bill Medicare for Mahesh Bommaraju's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mahesh Bommaraju reassigns Medicare benefits to 2 organizations: Kaleida Health (Williamsville, NY) and University At Buffalo Pediatric Associates Inc (Buffalo, NY). Each 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 Mahesh Bommaraju'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 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.
# Mahesh Bommaraju, MD · NPI 1457328114
Neonatal-Perinatal Medicine physician in Williamsville, New York. Individual provider, active in the CMS NPPES registry since March 2, 2006.
## Identity
- **NPI:** 1457328114 (Entity type: Individual)
- **Enumerated:** March 2, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 190900 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1540 MAPLE RD, Williamsville, NY 14221-3647
- **Phone:** (716) 878-7662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaleida Health (NPI 1053441907, Williamsville, NY); University At Buffalo Pediatric Associates Inc (NPI 1912928599, Buffalo, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2010
- **Other identifiers:** Other 00010018901; Other 040426000926; Medicare UPIN F80735 (NY); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1457328114) · Data from the CMS NPPES public registry.