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: July 19, 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
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

Other Identifiers 7

Other00010018901Univera
Other040426000926Fidelis
Medicare UPINF80735NY
Medicare PINBB1985NY
Medicaid01564185NY
Other000523290004Bc/bs
Other3610082Iha

Medicare Participation & PECOS Enrollment Status

Mahesh Bommaraju is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Internal Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Pediatrics (Neonatal-Perinatal Medicine)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Specialist
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Internal Medicine
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Internal Medicine (Pulmonary Disease)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Pediatrics (Neonatal-Perinatal Medicine)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Pediatrics (Neonatal-Perinatal Medicine)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Pediatrics (Neonatal-Perinatal Medicine)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Neonatal)
1540 MAPLE RD
WILLIAMSVILLE, NY 14221
Physician Assistant
1540 MAPLE RD
WILLIAMSVILLE, NY 14221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457328114, enumerated as an "individual" on March 02, 2006.

The provider is located at 1540 MAPLE RD WILLIAMSVILLE, NY 14221 and the phone number is (716) 878-7662.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.