DR. JAMES RAYMOND HERETH M.D.
NPI 1912161530
Pediatrics - Pediatric Critical Care Medicine in Buffalo, NY
About Dr. James Raymond Hereth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES RAYMOND HERETH M.D. (NPI 1912161530) is an individual pediatric critical care medicine provider in Buffalo, New York, licensed in New York (247895) and active in the NPI registry since July 2008. He 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 (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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. James Raymond Hereth M.d. 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 Reassignments
5Medicare enrollment records show James Hereth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buffalo, NY 14203
- Reassigned Medicare billing, New York enrollment
- 217 clinicians in this Medicare group
Buffalo, NY 14203
- Reassigned Medicare billing, New York enrollment
- 676 clinicians in this Medicare group
Buffalo, NY 14214
- Reassigned Medicare billing, New York enrollment
- 515 clinicians in this Medicare group
Buffalo, NY 14220
- Reassigned Medicare billing, New York enrollment
- 499 clinicians in this Medicare group
Olean, NY 14760
- Reassigned Medicare billing, New York enrollment
- 163 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaleida Health
Acute Care Hospitals · Buffalo, NYOlean General Hospital
Acute Care Hospitals · Olean, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BUFFALO, NY 14203
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 James Hereth's NPI number?
The NPI number for James Hereth is 1912161530. It was assigned to this individual provider in the NPPES registry on July 13, 2008.
Where is James Hereth located?
James Hereth practices at 818 Ellicott St, Buffalo, NY 14203. The listed phone number is (716) 323-0200.
What is James Hereth's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is James Hereth enrolled in Medicare?
Yes. James Hereth 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 organizations bill Medicare for James Hereth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Hereth reassigns Medicare benefits to 5 organizations: University At Buffalo Pediatric Associates Inc (Buffalo, NY), Kaleida Health (Buffalo, NY), Sisters Of Charity Hospital Of Buffalo, New York (Buffalo, NY), Mercy Hospital Of Buffalo (Buffalo, NY) and Olean General Hospital (Olean, 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 James Hereth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is James Hereth affiliated with any hospitals?
According to CMS data, James Hereth is affiliated with Kaleida Health and Olean General Hospital.
When was this NPI record last updated?
The NPPES record for James Hereth was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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. James Raymond Hereth, M.D. · NPI 1912161530
Pediatric Critical Care Medicine physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since July 13, 2008.
## Identity
- **NPI:** 1912161530 (Entity type: Individual)
- **Enumerated:** July 13, 2008
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 247895 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 818 ELLICOTT ST, Buffalo, NY 14203-1021
- **Phone:** (716) 323-0200 · **Fax:** (716) 323-0293
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): University At Buffalo Pediatric Associates Inc (NPI 1912928599, Buffalo, NY); Kaleida Health (NPI 1245365196, Buffalo, NY); Sisters Of Charity Hospital Of Buffalo, New York (NPI 1659396380, Buffalo, NY); Mercy Hospital Of Buffalo (NPI 1659310605, Buffalo, NY); Olean General Hospital (NPI 1033499017, Olean, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Buffalo School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** January 18, 2021
- **Other identifiers:** Medicaid 03103335 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1912161530) · Data from the CMS NPPES public registry.