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ALEXANDRA DEROSA MD
NPI 1861954679
Obstetrics & Gynecology in Buffalo, NY

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
1091 MAIN ST, BUFFALO, NY 14209(716) 656-4077 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Jul 19, 2024, Sep 22, 2021 and 1 more (4 updates tracked since 2019).

About Alexandra Derosa Md NPPES

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

ALEXANDRA DEROSA MD (NPI 1861954679) is an individual obstetrics & gynecology provider in Buffalo, New York, licensed in New York (333361) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (2020).

NPPES Registry Identity

NPI1861954679
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameALEXANDRA DEROSACredential: MD
Location Address1091 MAIN STBuffalo, NY 14209-2305
Mailing AddressPo Box 488Buffalo, NY 14240-0488
Phone(716) 656-4077
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2020
Enumeration DateApril 1, 2019
Last NPPES UpdateOctober 29, 20244 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1861954679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 333361
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1091 MAIN ST, Buffalo, NY 14209
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Derosa Md 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.

PECOS PAC ID1658807391
PECOS Enrollment IDI20241205000698
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER BRANCH
Dentist (Pediatric Dentistry)
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
TRISTAN COLBY
Physical Therapist
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 282-2888
DR. DAVID FEERE DDS
Student in an Organized Health Care Education/Training Program
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
EMILY DUNNE PA
Physician Assistant (Medical)
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 248-1420
KASSIANI STREMBENIS
Student in an Organized Health Care Education/Training Program
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
KAITLYN LORI TAYLOR
Dentist
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 242-8200
SHARMIN MENZEL LMHC
Counselor
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 800-2273
KATHRYN MICHELLE PAWLAK DDS
Dentist (Pediatric Dentistry)
1091 MAIN ST
BUFFALO, NY 14209
Erie County (716) 829-2723

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 Alexandra Derosa's NPI number?

The NPI number for Alexandra Derosa is 1861954679. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Alexandra Derosa located?

Alexandra Derosa practices at 1091 Main St, Buffalo, NY 14209. The listed phone number is (716) 656-4077.

What is Alexandra Derosa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alexandra Derosa enrolled in Medicare?

Yes. Alexandra Derosa 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.

Is Alexandra Derosa affiliated with any hospitals?

According to CMS data, Alexandra Derosa is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Alexandra Derosa was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.