DR. ZEBUNNISSA MEMON MD, CFMP
NPI 1770730509
General Practice in Williamsville, NY
About Dr. Zebunnissa Memon Md, Cfmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ZEBUNNISSA MEMON MD, CFMP (NPI 1770730509) is an individual general practice provider in Williamsville, New York, licensed in New York (271589-01) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Zebunnissa Memon Md, Cfmp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Zebunnissa Memon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 676 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.
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 Zebunnissa Memon's NPI number?
The NPI number for Zebunnissa Memon is 1770730509. It was assigned to this individual provider in the NPPES registry on August 22, 2008.
Where is Zebunnissa Memon located?
Zebunnissa Memon practices at 1650 Maple Rd, Williamsville, NY 14221. The listed phone number is (716) 803-2707.
What is Zebunnissa Memon's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Zebunnissa Memon enrolled in Medicare?
Yes. Zebunnissa Memon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Zebunnissa Memon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zebunnissa Memon reassigns Medicare benefits to Kaleida Health (Williamsville, 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 Zebunnissa Memon'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 Zebunnissa Memon was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Zebunnissa Memon, MD, CFMP · NPI 1770730509
General Practice physician in Williamsville, New York. Individual provider, active in the CMS NPPES registry since August 22, 2008.
## Identity
- **NPI:** 1770730509 (Entity type: Individual)
- **Enumerated:** August 22, 2008
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 271589-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 MAPLE RD, Williamsville, NY 14221-3706
- **Phone:** (716) 803-2707
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaleida Health (NPI 1053441907, Williamsville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770730509) · Data from the CMS NPPES public registry.